Orange County NC Website
Browse       Search
Ll <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (|)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Mauu8cr,(7)Clerk <br /> This Document shall accompany all contracts and ohuU be auhmh1od for signature in the Routing Order specified uhnvc. 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 revi,,-w. 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: Nancy Alton PartyNendor Contact Person: same Conta Phone- rty/VeudorAddneoy:39]7 1Mg[khyn <br /> Place City Hillsborough State:NC Zip:27278 Department:Aging Amount: 10 urpose: Instructor Budget Code(s): 10430120- <br /> Vendor if m1 Vendor is uB0CC Yes[]N`Z Contract Type:(Check one)New <br /> r_l Renewal Amendment Fl Effective Date July 1,2013 Approved byBoard YeuF1 y4oF Agenda Date: Title of <br /> Contract: Wellness Instructor <br /> |[this iou Grant Agreement, pre-application has been approved hy the Board of Commissioners 'y emMNmr-1. If submitted for bid were <br /> hids/RFPs received ycoFlNoF� Bid/RFP number This contract has been reviewed and approved by the Department Director ue»o <br /> technical content: <br /> Department Director's 8igomkenu: <br /> e *o� — <br /> Date: <br /> IT Director <br /> (4pplicuble only to hardwarelsoftware purchases or related services)This contract bumheeorevie`vedoodapprovudbytheIutboou1ion <br /> Tcchno}ugy Director oson technical content and information technology mpccifivatiwua: <br /> IT Director's Signature: Date:____________ <br /> Risk Manaiiement <br /> Include the following coverages: Fl CGL; F� Auto; F� WC; Fl {rnteukum|; Fl Property; OR No Insurance Require g. Bu(d <br /> Contract pending receipt of Certificate of Insurance []. With incorporation of Insurance provisions os shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date:__ / <br /> Financial Services <br /> ) <br /> This Contract is conditioned appropriation hythe Board ofCommissioners Yeo[lNoff /\ budget amendment imnecessary <br /> before approval YuoMlyoa. If budget amendment im necessary, please attach hm this form, This instrument has been pre-audited iothe <br /> manner required bythe Local Government Budget and Fiscal Control A <br /> Financial Services 0`ireuAar,mSignature: L� _Duto: 7 <br /> County Attorney <br /> Approval by Board El (C $9O8OOU for d services, $250,000.00 for construction, or any 80CC <br /> consultant contract). . Department Director approval only Fl(Under <br /> S|/)00), This contract has been neipwed aRproved by the Attorney as to legal form uudaufG <br /> Attorney's Signature Date:__ <br /> County Manaae <br /> This contract has been reviewed and is approved hy the County Manager YesPFNoEl. <br /> This contract has been i d and i � <br /> OVJ <br /> Manager's Signature: <br /> 7 <br /> Clerk to the Board <br /> Approved byBOCCon the day of 20 . Submitted for Chair signature oi the day of 120____ <br /> Clerk's Signature: Date:_____________ <br /> Revised March 2012 <br />