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ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (l)Department,(Z)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 iu not appropriate for Manager approval the Manager shall submit the contract for BQCCapproval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> ho completed through the legal review process prior to being routed tbrmiguuture. <br /> Department <br /> Porty/VcndorY4umc: Sandra Smith Party/Vendor Contact Person: same Contact Phone: 114 Cheshire Dr <br /> City Hillsborough State:NC Zip:27278 I' Agiuc A $3,08{U0} Code(s): <br /> 629X000 Vendor#6ll20 f new vendor) Vendor ivaBOCCconsultant? Yes Contract Type:(Check one)New|l <br /> Renewal Amendment [I Effective Date July 1,2013 Approved byBoard YnoEj Non Agenda Date: Title of <br /> Contract: Senior Center Instructor <br /> If this is Grant Agreement,pre-application has been approved by the Board of Commissioners Yoo[]NoF]. If submitted for bid were <br /> bidu/KFPx received Ycmnl4oEl 8id/DFy number This contract has been reviewed and approved by the Department Director aato <br /> technical content: <br /> 0epumtmm«|�ir*etn�,w��Qeu�opo� Date: <br /> om <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 Manaaement <br /> Include the following coverages: n CQL; Fl Auto; n WC; El Professional; Fl Property; OR No Insurance Require e 8oki <br /> Contract pending receipt o[Certificate u[Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> rl,I,I <br /> Risk Manager's Signature: Date: 7 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board ofCommissioners YemnNod A budget amendment isnecessary <br /> before approval Yoony4o . 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 t: <br /> 9� fY <br /> Financial Services Director's Signature: LAa~�`�~ ^/�' Jul Date: �y Ij <br /> County Attorney <br /> Approval by Board [] (C $900000 for goods or services, $250,000.00 or more for construction, 0CC <br /> consultant contract). Approval by Manager N�(Most other contracts$1,000 and above). Department Director approval only El (Under <br /> S 1.000). This contract has Vrev* and approved by the Attorney as to legal form and suffici n-y- <br /> Attorney's Signature Date: <br /> County imylanage <br /> This contract has been reviewed and is approved by the County Manager Ye*ff�IOFI. <br /> This contract has been reviewed and is for signature by the h ir YesnNo2--- <br /> Manager's Signature: Date? 13 <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 />