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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: Darroll Andrew Brown Party/Vendor Contact Person: Contact Phone: 919 740-2693 Party/Vendor <br /> Address: 113 Tuscarora Dr City Hillsborough State:NC Zip:27278 Department: DEAPR Amount: $630 Purpose: Tennis Lessons <br /> Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check <br /> one)New® Renewal ❑ Amendment ❑ Effective Date September 24,2012 Approved by Board Yes❑No❑ Agenda Date: <br /> Title of Contract: Tennis Lessons <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: '912-7)13 <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 /> , D``irector's Signature: Date: <br /> ,, o ilk Management 4@W <br /> Include the following coverages:, j GL; ❑ 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: (24._ J�- Date: <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Nov 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 and Fiscal Control Act: <br /> Financial Services Director's Signature: Nw,.w Date: IJ <br /> IZ-1L9 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Mana (All other contracts). This contract has been reviewed and approved by the Attorney as <br /> to legal form and sufficiency <br /> Attorney's Signature Date: 9— <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is for signature by the Chai Yes❑No <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved b BO on the_day of 20 Submitted for Chair signature on the_day of 20 <br /> Clerk's Si atu Date: <br /> Revised November 2011 <br />