R 2013-448 Aging - Jerry Passmore for In Praise of Age Editing $7,000

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ORANGE COUNTY—CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process pr iox to being routed for signature. 7t ea Department Party/Vendor Name: Jerry Passmore Party/Vendor Contact Person: Contac Phone: Party/Vendor Address:P.O.Box 7870 City Ocean Isle Beach State:NC Zip:28469 Department: Aging Amount: Purpose: In Praise of Age editing Budget Code(s): 10430020-630110 Vendor#NA (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check- one)New® Renewal ❑ Amendment ❑ Effective Date 11/01/13 Approved by Board Yes[]No❑ Agenda Date: Title of Contract: Senior Center Instructor If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With ingorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: �G 4% t, c-v j.�.g�w.,,,.f1 Risk Manager's Signature: a Date: 1Cf Financial Services This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoQ/ A budget amendment is necessary before approval Yes❑No . If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: I Financial Services Director's Signature: "�� Date: 16 County Attorney Approval by Board ❑ (Contracts $90,000 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approv 1 by Manager W (Most other contracts$1,000 and above). Department Director approval only ❑(Under $I,000). This contract has be vie d approved by the Attorney as to legal form and suffici ncy: Attorney's Signature Date: County Manager This contract has been reviewed and is ap oved by the County Manager Yes[ o/❑. This contract has been reviewed a s f si ture y the C r Y s❑No❑. v Manager's Signature: Date: ", Clerk to the Board Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of 20 Clerk's Signature: Date: Revised March 2012