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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: Lune Lee Ray Party[Vendor Contact Person: same Contact Phone: PartyNendor Address:P 0 Box 1372 <br /> City Carrboro State: NC Zip: 2751.0 Department: Aging Amount: $3,000.00 Purpose: Instructor Budget Code(s): 10430120-629000 <br /> Vendor 4 48614 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type:(Check one)New❑ Renewal <br /> Z Amendment ❑ Effective Date July 1,2013 Approved by Board Yes❑Nom Agenda Date: Title of Contract: Senior <br /> Center 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: <br /> Department Director's Signature: Date: yl-.47-13 <br /> IT Director <br /> (Applicable only to hardwarelsoftware purchases or 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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required V Hold <br /> Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: 1 ) 1 13 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[-9" / 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 Ac <br /> N t: <br /> - <br /> Financial Services Director's Signature: 0 A, Date: '711 11-3 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,OOQ.qO or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager PQ(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has be vie d approved by the Attorney as to legal form and ffi <br /> 'I <br /> Attorney's Signature Dates:u 1cl <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YeoNo❑. <br /> This contract has been reviewed and is for signature by th 'hair Yes❑NoI'"� <br /> ?IC <br /> Manager's Signature: Date: 7 <br /> 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 />