Orange County NC Website
Browse       Search
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: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: Party Vendor Address: <br /> 3213 Annandale Road City Durham State:NC Zip: 27705 Department: DEAPR-Recreation Amount• 4625 urpose: Piano <br /> Instruction Budget Code(s): 10511020 630000 Vendor#61078 (N/A if new vendor) Vendor• a onsultant? Yes ❑No <br /> ® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date July 8,2013 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract: Piano 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: Date: 0 <br /> IT Director <br /> (Applicable o to kat are/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Dire technical content and information technology specifications: <br /> IT Director's Sig 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: t'J <br /> Risk Manager's Signature: + Date: / 7 <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�f 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 and Fiscal Control ct: <br /> Financial Services Director's Signature: <br /> 6&� Date: �1//,? <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0 more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager�a (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been eviewed oved by the Attorney as to legal form and sufficiency: � <br /> Attorney's Signature Date: �� 31--1^l <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y 0 <br /> This contract has been reviewed and is f nature b the h ' Yes❑N <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by O C on the_day of 20 . Submitted for Chair signature on the_day of 20 <br /> Clerk's Signatur Date: <br /> Revised March 2012 <br />