Orange County NC Website
4?oa�- lz� <br /> 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 /> Deuartment <br /> Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: 9 -943 1 artyNendor <br /> Address: 3213 Annandale Road City Durham State:NC Zip:27705 Department: DEAPR Amou 00 P ose: Piano and <br /> Choral Camp Instruction Budget Code(s): 630000 Vendor#61078 (N/A if new vendor) Ven onsultant? Yes❑No <br /> ® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date June 10,2013 Approved by Board Yes[:]No <br /> ❑ Agenda Date: Title of Contract: Piano and Choral Camp <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: 23 /1's <br /> IT Director <br /> (Applicable only to Xe: e/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director a chnical content and information technology specifications: <br /> IT Director's Signatu Date: <br /> Ri sk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required 12. 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: �C " °'"" /� Date: q11_6113 <br /> �i�f�• -.+, I M <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[ 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 Buuet and Fiscal Control Act q/v`7'/ <br /> Financial Services Director's Signature: k"t." Date: { <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manageost other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been reviewe d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature _ Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the Co my Manager Y�s�"N0 <br /> This contract has been reviewed and ' r ig ture by Chair Yes❑N� <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC th day of ,20 . Submitted for Chair signature on the_day of_ 20 <br /> Clerk's Signature. Date: <br /> Revised March 2012 <br />