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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: Caroline Johnston Party/Vendor Contact Person: Caroline Johnston Contact Phone: (919)496-4919 Party/Vendor <br /> Address: 9055 Highway 39 South City Henderson State:NC Zip:27537 Department: DEAPR Amount: $3516.00 Purpose: Dance <br /> instruction Budget Code(s): 10511020 630000 Vendor#61758 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 8/14/13 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract: Dance 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: g Iq <br /> IT Director <br /> (App ' able only to rdware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technolo ector as to technical content and information technology specifications: <br /> IT D' ctor's Signature. Date: q <br /> Risk Mana ement <br /> Include the following coverages: 9CGL; ❑ Auto; ❑ WC; Professionai;�❑ Property; OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance F. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: (fit..= Date: <br /> 8lzit 13 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nold 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 <br /> and Fiscal Control Act: <br /> Financial Services Director's Signature: N Date: t 13 <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 Manager M (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has beenevievx*nd approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <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 si ure by Chair Yes❑No <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approv y BOCC the_day of 20 . Submitted for Chair signature on the_day of 20 <br /> Clerk's Signa Date: <br /> Revised March 2012 <br />