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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: Michael Saving Party/Vendor Contact Person: same Co ac Pt h Party/Vendor Address: 505 Long Leaf <br /> Drive City Cha ep 1 Hill State:NC Zip: 27514 Department: Aging Arno un. 300 ose: Instructor Budget Code(s):29430320- . <br /> 630000 Vendor#44715 (N/A if uew vendor) Vendor is a BOCC cons es❑No® Contract Type: (Check one)New❑ <br /> Renewal 0 Amendment ❑ Effective Date July 30,2013 Approved by Board Yes[]No❑ Agenda Date: Title of <br /> Contract: Wellness 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❑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: Date: -1-.25­1_3 <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 Z 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: 1�� ✓�" J �✓ Date:e• <br /> �a. 7!zc, <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 Fid Fiscal Control Ac <br /> Financial Services Director's Signature: ��^^"�/ �/ Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.09 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager1-�(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has r • ed and approved by the Attorney as to legal form and suffic ency �s+ <br /> Attorney's Signature Date: 1 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YeaD,&F <br /> This contract has been reviewed and is for signature by the Ch Eat' Yes❑No <br /> Manager's Signature: Date: <br /> 4Nkrk 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 />