Orange County NC Website
6 <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1) Department, (2)IT, (3)Risk Management, (4)Financial Services, (5)Attorney, (6)Manager, (7)Cleric <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: Kaylin McGee Party/Vendor Contact Person: Kaylin McGee Contact Phone: 919 933-5793 Party/Vendor <br /> Address: 3007 Arthur Minnis Road City Hillsborough State:NC Zip:27278 Department: Parks&Recreation Amount: 920.00 <br /> Purpose: Gentle Strengthening&Ballroom Dancing Classes Budget Code(s): 630000 Vendor#59455 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 2/8/2010 <br /> Approved by Board Yes❑No® Agenda Date: Title of Contract: Services Agreement <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted forbid <br /> were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director <br /> as to technical content: <br /> Department Director's Signature: mot. Date: / /0 <br /> IT Director <br /> (Applicable only to hardivare/sof4vare purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and infonnation technology specifications: <br /> IT Drr i nature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; aOR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: /v <br /> Pte W 2I3I2o/a - <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A budget amendment is necessary <br /> before approval Yes❑ No❑. 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 andFiscal Control Act: <br /> Financial Services Director's Signature: Nu-e4-� Xy' 4a___7 Date: 2 <br /> g <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager All contracts <br /> $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: 1)-5116 <br /> Attorneys 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 an b bmi d for B c nside ation Yes❑N. <br /> Manager's Signature: Date: <br /> IV <br /> lerk to the Board <br /> Submitted for Chair signature: <br /> Clerk ature: Date: <br /> Revised December 2009 <br />