Orange County NC Website
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: Equestian Arts Institute Party/Vendor Contact Person: Toney Massionple Contact Phone: 919 563-3500 <br /> Party/Vendor Address:4505 Scottland Dr City Mebane State:NC Zip: 27302 Department: DEAPR Amount: $2880.00 Purpose: <br /> Horseback Riding Lessons Budget Code(s):105100°`Ovendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ❑ Contract Type: (Check one)New® Renewal Amendment ❑ Effective Date Feb 1,2011 Approved by Board Yes❑No❑ <br /> Agenda Date: Title of Contract: Horseback Riding Lessons <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: r Date: t <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, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: 2,- 3•/l <br /> 0-1Lb.z,/a0) 1 f Irk <br /> Financial Services <br /> This Contract is condition d on appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes[0] No . If budget amendment is necessary,please attach to this form. T is instrument has been pre-audited in the <br /> manner required by the Loca Government Bud et and Fiscal Control Act: <br /> Financial Services Director's Signature: G'G� �, AA A Date: Z V1 <br /> County Attorney <br /> Approval by Board ❑ (Contracts ov $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager 9 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date. <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Ye No❑. <br /> This contract has been reviewed and is to be submitted for 13Q consideration Yes❑Noj <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 April 2010 <br />