HomeMy WebLinkAbout2012-014 NS DEAPR - Carla Laws $1,000.00r
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d S ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: 1 D par tinent, IT, 3 Wsk Management, Financial Services, Attorney, 6 Manager, Clerk
This Document shall acc m ally all 00mracts and shall be submi tcd for sigiiature in the Routing rdcr specified above, If the, Manager
determines the contract is 11 o appr Priate for Maiiager approval tine l arrfiger shaII submit the contract for BOCC approval. Contracts for
B OCC approval mu st he submitted t hrough, and comp let e, (lie r ul ing process prior to agenda rev iew. Contracts for legal review should
•
be completed through the legal reviow process prior to buhig routed for signalore..
Departme
PartyNendor Name: Carla Laws Parity Vendor Contact P rs w Comaet Phone: 919 732 -4461 Party/Vendor Address: 408
Lafayette Drive City H i I Isborough State: N C Zip: 27278 epartmeat: DE APR Amou nt: S 10 0 0 Purpose; Aerobics Instruction B crdget
Code (s).- Vendor H (NA. if new vendor ) Vencior is a BOCC Consultant? s NoM Contract Typ Beck one) New
0 Renewal l 0 Amendment Effectivo Date Approved by Board YesEj Noe Agenda Date: Title of Contract.m.
Aerobics Instruction
If this is a Grata A reemeW, pre-application has been approved by the Board of Commissioners Yei ❑ Noo. If submitted for bid wer
bids /R Ps received WsEl Noe Bid RFP mu b r TWs contract leas been re iow d end approved by the D paltilient Dix for as to
t mical Content:
t�
e t1' l elit "Imect is Signature: Date, 2-7
Signature:
IT
i 1, rr- r # � ,�t� r 11 " s 1i 'ej s This o��tr# ct fins beet) lc � d �1 approved t Information
Tec.hn logy D' e t r as t t ol�nic a ntent and infort tion tC 1t1oloay Veelfle leas:
IT Di Sr r's Signature:
Date
Risk Management
hicludo the. fotlowing mer #ages: 0 C L; 1:1 Auto; WC; 0 Prot`es imal; E] Pr peify; [D"'6R No Insurance Required [l. ffold
Contract pending receipt of C rtfficate of 11 s raltce . With hicorporation of Insurance provisions s shown, this colitract is alp +ovcd
by the Risk Manager:
Risk Manager's Signature: Date;
Financial Services
This � r�traet is oo� lltiorr d Upon appropr�i tlon by the Board rd of Cots missioller s l o . A budget amendment is lie essary
before approvad Yes No If budget amendment is necessary, please Mach to this form. Tins instrument has been pre-audited in the
manner required y lire Lo I rmnent Budget and Pil l �t��ol t: a h4l-4� � �i r 4� • i #,� # ;to:
illan lal r ices Director's s , 11�it�1r e.
Comity Attor =«
Approval by Board (Contracts over $90,000.00 for goods or services, 0,000F o for construction, or any BOCC consultant
contract). Approval by Manager P9 (All other contracts). This contract has been r viewed .and approved by the Attorney as to legal
form and sufficioncy: I
Attorney's Signature VIA Date
01111ty mall"figer
P
``)�o&MoEl-
"rhis l s �itr•a ot leas been r viewed aid is pprov d by th ounty Mena er contract alas heel#
reviewed and is to be submitted for BOCC consid l•ation Yes[] .x
Manager's Signatmite: } { Date; (.0. -
x
C1 �it the o .11-
p roved by BOCC oil the � day of - Sti iiri Wc� Chair sl rr tine on the day .of ,
Dta
Clerk's Signature:
Revised April 2010