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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: Linda Cole Party/Vendor Contact Person: Same ac one: Party/Vendor Address:201 A Davie Road <br /> City Carrboro State: NC Zip: 27510 Department:Aging Amount; 000 rpose: Fit Feet Nurse Budget Codes):29430320- <br /> 6??Ot)0 Vendor#60120 (N/A if new vendor} Vendor is a BOC i ? Yes❑No® Contract Type:(Check one)New❑ <br /> Renewal ® Amendment ❑ Effective Date July 1,2013 Approved by Board Yes[]No[:] Agenda Date: Title of <br /> Contract: Wellness Instructor <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: AA <br /> Department Director's Signature: Date: (o•o?7-/3 <br /> IT Director <br /> (.-1pplicahle only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information <br /> 1'echnology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required 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: f " <br /> Risk Manager's Signature: tl4(r�'w � • /,' Date: l l <br /> Lolzs <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No i A budget amendment is necessary <br /> before approval Yes❑No[VIf 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 Controll Act: ��_ �J <br /> Financial Services Director's Signature: �)- ,X,/ — Date: 171 lt,3 <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 Manager(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> S 1,000). This contract has beA revie d and approved by the Attorney as to legal form and suffi 'en y: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye%ENo❑. <br /> This contract has been reviewed and is for signature by t I Ch Yes❑NoR.' <br /> Manager's Signature: Date: ' <br /> -t Clerk to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />