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ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department, (2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Caroline Johnston Party/Vendor Contact Person: Caroline Johnston Contact Pho 19,-830-5177 PartylVendor <br /> Address: 9055 Hwy 39 S City Henderson State:NC Zip: 27537 Department: DEAPR Amount: 00.00 rose:Dance Camp <br /> Instruction Budget Code(s): 630000 Vendor#61758 (N/A if new vendor) Vendor is a BOX co es ❑No® Contract <br /> Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date June 17,2013 App y Board Yes❑No® Agenda <br /> Date: Title of Contract: Dance Instruction <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: .4/22 <br /> IT Director <br /> (Applicable only to hardwarelsof are purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as t tec cal content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Manasement �/ <br /> Include the following coverages: E] CGL; ❑ Auto; El WC; ❑ Professional; [I Property; El OR No Insurance Required I Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: //;; � /�� <br /> Risk Manager's Signature: L WUIJ 114, /'� Date: 2513 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Na . A budget amendment is necessary <br /> before approval Yes❑No if budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control/J ct: I <br /> Financial Services Director's Signature: CI /✓. J_ Date: Z 51 <br /> County Attorney <br /> Approval by Board ❑ (Contracts ov r $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager (AlI other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: — <br /> County Manaser <br /> This contract has been reviewed and is approved by the Coun anager YSs0__bk6,. <br /> This contract has been reviewed and is to be it C onsidera ion Yes❑ <br /> Manager's Signature: Date: 1❑� <br /> Clerk to the Board <br /> Approved by BOC on the_day of 20 Submitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />