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 Naive: Pamela Reading Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address: 105 <br /> Charlesberry Lane City Chapel Hill State:NC Zip: 27517 Department:Aging-CBS Amount: $1,21D.0.00 Purpose: Japanese <br /> Embroidery Class at the Seymour Center Budget Code(s): 10430120-629000 Vendor#60403 �_N/A if new vendor) <br /> BOCC consultant? Yes ❑No® Contract one)one)New® Renewal❑ Amendment ❑ Effective D e 02/12/11 <br /> Approved by Board Yes❑No® ,gAC enda Date. ` Title of Contract: Instructor Agreement <br /> If this is a Grant Agreement,pre-application s een 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; ["r OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance F. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: 52 • It <br /> iQCe'cd 2(3120 1 t <br /> Financial Services <br /> This Contract is conditio n upon appropriation by the Board of Commissioners Yes❑No14 A budget amendment is necessary <br /> before approval Yes❑ Nob]. 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 /> ' dO44vtA- )• A%4J Date: <br /> Financial Services Director's Signature: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager ;� (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 YeS❑No[:]. <br /> This contract has been reviewed and is to 14p.aubmitted for BOCC consideration Yes❑No❑ <br /> AI o" <br /> Manager's Signature: Date: <br /> to the Board <br /> s <br /> Jerk <br /> Approved by BOCC on the day of 20 Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: , Date: J _ / <br /> Revised April 2010 <br />