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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: Brian Braxton Party/Vendor Contact Person: Brian Braxton Contact Phone: 919.732.3435 Party/Vendor Address: <br /> PO Box 759 City Hillsborough State:NC Zip:27278 Department: Environment, Ag,Parks and Rec Amount: 1820.00 Purpose: Golf <br /> Instruction Budget Code(s): 101511020 630000 Vendor#59719 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date April 14,2014 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract: Golf 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: 3 4 <br /> r I; <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 Rec u�ired_❑. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions:as sho cobtr t aTpr� <br /> by the Risk Manager: L� LL�� ��JJ <br /> ' MAR 2 5 2014 <br /> i_4 <br /> Risk Manager's Signature: � - Date: <br /> alzs <br /> Financial Services By <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[� A budget amen men <br /> before approval Yes❑ NoE. 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 Budgq �n'd`Fis'caall Control Act: 41V Financial Services Director's Si nature: ct61�k � /J� Date: Z <br /> Signature: <br /> 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 Manager La-(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been reviewed and a ved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature IZ4 Date: <br /> County Manager <br /> This contract has been reviewed and is approv by e County Manager Yes o❑. <br /> This contract has been reviewed and ' si u e y the h 'r Y ❑No <br /> Manager's Signature: Date: <br /> Clerk 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 />