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ao�3�a� <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: Nina Maier Party/Vendor Contact Person: Contact Bhorie:732-2722 Party/Vendor Address: 3302 Pearson <br /> Road City Hurdle Mills State:NC Zip: 27541 Department: DEAPR AmoutaC $1568 Purpose:Tai Chi Instruction Budget Code(s): <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant?-Y2s�ErNo® Contract Type: (Check one)New❑ <br /> Renewal ® Amendment ❑ Effective Date July 15,2013 Approved by Board Yes❑No❑ Agenda Date: Title of <br /> Contract: Tai Chi Instruction <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: ( c� Date: 7 O <br /> IT Director <br /> (Applicable o to ardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Di r as to technical content and information technology specifications: <br /> IT Director's S' natu e: 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 /> ' . /` oiAl y OI Date: E,>_3/tn? <br /> Risk Manager's Signature. <br /> Financial Services <br /> This Contract is conditioned upon 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 Bud nd Fis al Contr 1 Act: <br /> Financial Services Director's Signature: 496?a- OW C7_60 Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts o r $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager (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 Manager <br /> This contract has been reviewed and is approved by the County Manager Y � <br /> This contract has been reviewed and is to be su itted for XBOCosideration Yes❑Nom/ <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by B on the_day of 20 . Submitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />