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X314 - lto <br /> 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: Nina Maier Party/Vendor Contact Person: Nina Maier Contact Phone: 919-732-2722 Party/Vendor Address: <br /> 3302 Pearson Road City Hurdle Mills State:NC Zip:27541 Department:DEAPR Amount: $561.00 Purpose: Tai Chi Instruction <br /> Budget Code(s): Vendor#51178 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check <br /> one)New® Renewal ❑ Amendment ❑ Effective Date 4/22/2014 Approved by Board Yes❑No❑ Agenda Date: Title <br /> of Contract: <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: av<�qV Date: 42 <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 Required Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as show <br /> by the Risk Manager: <br /> Risk Manager's Signature: _ A�1 Date: MAR 2 $ 2014 <br /> 31 ZS <br /> Financial Services <br /> This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑NoE;K B A bud <br /> before approval Yes❑ NoIf 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: N(W-44.,0 A � Date: <br /> 31�t <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 Manager❑ (Most other contracts$1,000 and above). Department Director approval only Jnder <br /> $1,000). This contract haWbeen iewed and a proved by the Attorney as to legal form and sufficiency:Attorney's Signature Date: <br /> Countv Manager <br /> This contract has been reviewed and is a roe t e County Manager Yes o❑. <br /> This contract has been reviewed an i or ' a r y ha' es❑ ❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the y day of 20 . Submitted for Chair signature on the_day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />