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ORANGE COUNTY—CONTRACT CONTROL SHEET t lo <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: Laurie LaBean Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address: 1428 <br /> Chanterelle Lane City Hillsborough State:NC Zip: 27278 Department: Aging-Wellness Amount: $1,313.00 Purpose:NIA class <br /> Budget Code(s): 29430320-630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: <br /> (Check one)New® Renewal ❑ Amendment ❑ Effective Date October 1,2010 Approved by Board Yes❑No® Agenda <br /> Date: Title of Contract: Instructor Agreement <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; [j OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance D. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk g <br /> er <br /> Mana g 's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑NoX. A budget amendment is necessary <br /> before approval Yes[:] NoX 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 Bud et and Fiscal Control Act: <br /> ' Date: <br /> Financial Services Director's Signature. <br /> County Attorney <br /> Approval by Board ❑ (Contracts ov r $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: J <br /> Attorney's Signature a Date: )(� /I /0 <br /> County ManaLer <br /> This contract has been reviewed and is approved by the County Manager Ye 00. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑NoET__*** <br /> Manager's Signature: 0 0 Date: () 3 <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 />