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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: Jeanne M. Seys Party/Vendor Contact Person: ontact P?6e.:91"9,951-9581 Party/Vendor Address: 925 <br /> May Rid� C*t Hurdle Mills State:NC Zip: 27541 Departme DEAP Amoun rpose:Yoga Instruction Budget <br /> 49/1 <br /> ,�14 Vendor 'a C consu. No[5� Contract Type:(Check one)New <br /> Code(s)- �, endor#56?,Y(N/A if new vendor) C,lxl;to el <br /> Renewal L_j Amendment ❑ Effective Date July 1,2013 Approved by Board Yes❑Non Agenda Date: Title of <br /> Contract:Yoga Instruction <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoZ. 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: -p Date: 71 )111 <br /> IT Director <br /> (Applicable I hard are/software purchases or related services)This contract has been reviewed and approved by the Information <br /> y 10 <br /> log a <br /> I <br /> Technology only <br /> � technical content and information technology specifications: <br /> Lj <br /> IT Director's Signatur Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required Ek.lHold <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: N't", E^J Date:— kit <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners YesE]No[R/ A budget amendment is necessary <br /> . If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the <br /> before approval Yes[]Zvi� <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: act, 4,u, A A, Date: 7 .?l U <br /> County Attorney <br /> Approval by Board ❑ (Contracts 9x*r-$90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manage potj (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manaiie <br /> This contract has been reviewed and is approved by the County Manager YeNon. <br /> This contract has been reviewed and is to beAubmitted for$O C consideration Yes❑Npff.' <br /> Manager's Signature: Date:—7 -9 -i5 <br /> IA�l <br /> Clerk to the Board <br /> Approved by BOCC on the ay of ,20 Submitted for Chair signature on the_day of 20_. <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />