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ORANGE CONTROL SHEET <br /> Routing Order: (!)Department,(2) IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> lhio Document shall accompany all contracts and ehu||be submitted for signature in the Routing Order specified above. lf the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BUCCapproval. 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 /> 0ei)artment <br /> Puny/VondorNomc Rebecca Syg Party/Vendor Contact Person: same Contact Phone: PartyNendurAddreas:428 S Camellia <br /> St City Chapel Hill State:NQ Zip:27516 D Aging Amount: $2,00.00 P Code(s):29430320- <br /> 630000 Vendor#b0912 if new vendor) Vendor iaaBOCCconsultant? Yom Contract Type:(Check one)New n <br /> Renewal Amendment 0 Effective Date July 1,2813 Approved 6yBoard YoxnNon Agenda Date: Title of <br /> Contract: Wellness Instructor <br /> |[thioisa Grant Agreement, pre-application has been approved bythe Board of Commissioners l'ouFl}JuFl. If submitted for bid were <br /> bids'KFPm received YconNon 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: <br /> IT Director <br /> (ApIdicable 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 /> |T Director's Signature: Date: <br /> Risk Manaaernent <br /> Include the following coverages: F CGL; El Auto; n WC; 0 Professional; E Property; OR No Insurance Required []'. <br /> Bold <br /> Contract pending receipt o[Certificate uf Insurance El. With incorporation of Insurance provisions as shown,this contract is approved <br /> hy the Risk Manager: <br /> Qisk Manager's Signature: Date: ' <br /> Financial Services <br /> This Contract is conditioned appropriation by the Board ufCommissioners "yooE]m"[E� A budget amendment isnecessary <br /> bc|o,c approval YcaE] No[ST |f budget amendment is necessary,please attach 0othis form. This instrument has been pre-audited in the <br /> manner required 6y the Local Government Budget <br /> Financial Services Director's Signature: Date: � <br /> County Attorney <br /> Approval by Board F� (Contracts $90000 or more for goods or services, $250,000,00 or more for construction, or any BOCC <br /> co,`u|mn| con/mcd. Approval by Manager[&(K4ost other contracts$l,000 and uhuvc). Department Director approval only F1 (Under <br /> 3|,0(x)), This contract h proved by the Attorney as to legal form and suffi 'e <br /> Anorocy`y9igomu/nr Date: <br /> County Manazer <br /> This contract has been reviewed and is approved 6v the County Manager YeAa&on. <br /> This contract has been reviewed uudis8n signature <br /> Manager's Signature: 0/6 Date: " ~�^ <br /> Clerk to the Board <br /> Approved by8DCCon the___day of 20____ Submitted for Chair signature on the day nf 28____ <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />