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c;;�Ot-4 - <-f8B <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: Connie Winstead Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address:3000 <br /> Montgomery Street City Durham State:NC Zip:27705 Department:Aging Amount: $4,500 Purpose:wellness classes Budget <br /> Code(s):29430320-630000 Vendor#57329 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: <br /> (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/14 Approved by Board Yes❑No® Agenda Date: <br /> Title of Contract: Wellness Instructor <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: Z-f-/11 <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 Manazement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [[ Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as showO i��' <br /> by the Risk Manager: �D <br /> Risk Manager's Signature: w� Date: J <br /> UN 10 2014 <br /> Financial Services <br /> This Contract is conditioned y�ion appropriation by the Board of Commissioners Yes❑No[/ A bud <br /> before approval Yes❑NoLM. 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 /> t/V� <br /> g <br /> Financial Services Director's Signature: y w A 14v— Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by M er LMost other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been re vie e a d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: (9 I `t"— <br /> County Manager <br /> This contract has been reviewed and is appro by the County Manager Yesio❑. <br /> This contract has been reviewe is r g ture he a ❑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 />