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020 12+ -�05 <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: Ruth Merrick PartyNendor Contact Person: Contact Phone: Party/Vendor Address:215 S. <br /> Hillsborough Ave City Hillsboroueh State:NC Zip:27278 Department:Agin Amount: $3,900.00 Purpose: Senior Center Classes <br /> Budget Code(s): 10430120-629000 Vendor#58822 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract <br /> Type:(Check one)New❑ Renewal ® Amendment ❑ Effective Date 07/01/14 Approved by Board Yes❑No❑ Agenda Date: <br /> Title of Contract: Senior Center 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: —/ <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 shown <br /> by the Risk Manager: I� <br /> Risk Manager's Signature: Date: JUN 2 0 2014 <br /> Lvl� <br /> Financial Services <br /> This Contract is conditioned n appropriation by the Board of Commissioners Yes❑No� A budg <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 and Fiscal Control Act: / ,D <br /> Financial Services Director's Signature: V W Date: V 1 <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 ❑(Under <br /> $1,000). This contract has been r i e 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 Yeso❑. <br /> This contract has been reviewed and is f9;signature by9the Chair Yes❑No❑. <br /> Manager's Signature: �" �� � �� �i�� ��' Date: 3 <br /> Clerk Jthe 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 />