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ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (/)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. Xf the Manager <br /> determines the contract io not appropriate for Manager approval the Manager shall submit the contract for 8UCCapproval. Contracts for <br /> B0CC approval must he submitted through,and complete,theoutingpn/ceaxpriortoug*ndurevievv. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor 4 David Sovero Party/Vendor Contact Person: ._- <br /> 000. se:Instructor Budget Code(s): <br /> Apt. I City Hillsborough State:NC Zip:27278 Department:Aging Amount:A��00.9 __P� <br /> 10430120-629000 Vendor#57151 (N/A if new vendor) Vendor is a 1300��co !_Yes F�N_oZ Contract Type:(Check one) <br /> New M Renewal Z Amendment M Effective Date July 1,2013 Approved by Board YesM NoF1 Agenda Date: Title of <br /> Contract: Senior Center Instructor <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners YesF1 NoEl. lf submitted for bid were <br /> hidm/KPPs received yeeMNoE7 Bid/VF9 number This contract has been reviewed and approved hy the Department I}ircctornsto <br /> technical content: <br /> Department Director's Signature: Date: <br /> UIT Director <br /> (Applicable only^mhu,uwmraso/hvuro purchases o,related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Manaeemen <br /> Include the following coverages: M CGL; M Auto; F1 WC; M9mfemoiwnal; M Property; OR No Insurance Require d Hold <br /> Contract receipt n[Certificate ofInsurance [|. With incorporation of Insurance provisions uxmbovm,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: 4_k�A_,L4�t Date: � <br /> Financial Services <br /> This Contract iuconditioned appropriation 6y the Board ofCommissioners Yee[lNo& & budget amendment isnecessary <br /> before approval YeeMNo&. lf budget amendment ia necessary,please attach ho this form. This instrument has been pre-audited 6othe <br /> manner required hy the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: ffiw+� A Date: 46di"? <br /> County Attorney <br /> /\ppmvu| by Board M (C $90,0 00.00 or any 80CC <br /> consultant ) Approval by Manager WH . Department Director approval only M(Under <br /> $)`O0O). This contract has be d oved by the Attorney as to legal form aodeuffioie <br /> Attorney's Signature Date: (1 <br /> County Manne <br /> This contract has b <br /> This contract has been <br /> Manager's Signature: , <br /> - Clerk to the Board <br /> Approved hy8OCCon the day of 20___. Submitted for Chair signature oo the___day mf 20____. <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />