R 2010-020 DEAPR - Brandon Rittenhouse

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ORANGE COUNTY—CONTRACT CONTROL SHEET �tj Routing Order: (1)Department, (2)IT,(3)Risk Management,(4)Financial Services, (5)Attorney, (6)Manager, (7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through, and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: Brandon Rittenhouse Party/Vendor Contact Person: Brandon Rittenhouse Contact Phone: 919-638-8310 Party/Vendor Address: 214 Shawnee Drive City Hillsborough State:NC Zip: 27278 Department: Parks and Recreation Amount: $1152.00 Purpose: Electric Guitar Instruction Budget Code(s): 630000 Vendor#57176 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 1/1/2010 Approved by Board Yes❑No® Agenda Date: Title of Contract: Services Agreement If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted forbid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: j4zowll J Date: a-1 - /a IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Direct nature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; [g-OR No Insurance Required El, Hold Contract pending receipt of Certificate of Insurance F. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: Date: Ate'd 2/312010 Financial Services This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NOX A budget amendment is necessary before approval Yes[:] No If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: ?J4413,4, Date: 2 JO g X-, County Attorney Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager (All contracts $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: County Manager This contract has been reviewed and is approved by the County Manager Y No❑. This contract has been reviewed and is to be s itted B nsideration Yes❑N� Manager's Signature: Date: Z �� Ilk to the Board Submitted for Chair signature: Clerk's re: Date: Revised December 2009