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ao►3-d3j <br /> 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: Pamela Reading Party/Vendor Contact Person: same Contact Phone: P Nendor Address: 105 <br /> Charlesberry Lane City Chapel Hill State:NC Zip: 27517 Department:A in Amount: $2,, urpose: Instructor Budget <br /> Code(s): 10430120-629000 Vendor#60403 (N/A if new vendor) Vendor is a BOCC cpnsultant9 s❑No® Contract Type: <br /> (Check one)New ❑ Renewal ® Amendment ❑ Effective Date Jul 2013 Approved-by­Board Yes[]No❑ Agenda Date: <br /> Title of Contract: Senior 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❑Non 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 /> (Applicable only to hardware/software 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 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: <br /> Risk Manager's Signature: ak(w..W I✓• Date: l is 1 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No 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 d Fiscal Control Ac n <br /> Financial Services Director's Signature: . 4— Date: ! i& j.r <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000-V or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval b anager (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been a 'ewe approved by the Attorney as to legal form and sufi c' ncy: <br /> Attorney's Signature Date: q Ile 13 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes21qo❑. <br /> This contract has been reviewed and is for signature by the Chair v s❑NoO� <br /> Manager's Signature: fo Date:2l7"1 <br /> Clerk tb 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 />