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o�c4-z7� <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: Michael Saving Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address:505 Long Leaf <br /> Drive City Chapel Hill State:NC Zip:27514 Department:Aging Amount: $2,400.00 Purpose:wellness classeq Budget Code(s): <br /> 29430320-630000 Vendor#44715 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one) <br /> New❑ Renewal® Amendment ❑ Effective Date 07/01/14 Approved by Board Yes❑No® Agenda]date: Title of <br /> 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❑Non 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: a - <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 Maqg&ment <br /> Include the following coverages: [`CGL; ❑ Auto; ❑ WC; 0 Professional; ❑ Property; OR No Insurance Required Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisio s as shoA afbiq r.((nntrnrt <br /> by the Risk Manager: � 7P 11 Al <br /> Risk Manager's Signature: Date: JUN 10 2014 <br /> Financial Services <br /> This Contract is conditionevi( ia n appropriation by the Board of Commissioners Yes❑Nolo. A bud <br /> before approval Yes❑No f bu dget 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:Financial Services Director's Signature: {� �"' �• A,, Date: <br /> County Attornev <br /> Approval by Board ❑ (Contracts $90,00 .0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval Manager (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has bee re iewe an pproved by the Attorney as to legal form and sufficiency- <br /> Attorney's Signature Date: <br /> County Mana er <br /> This contract has been reviewed and is approved by the County Manager Yes o0. <br /> This contract has been reviewed and is for signature by the Chair Yes❑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 o' ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />