HomeMy WebLinkAbout2012-037 DEAPR - James Moulton $ Blankr r
1 ANN COUNTS CO T ACT CONTROL SHEET
Routing Order: i Department, 2 IT, Risk Management, Financial Services, Attorney, Manager, Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
detern -lines 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 muted for signature.
Department
Marty /Vendor Name: Janes Moulton part /Vendor Contact Person: Jaynes Moulton Contact Phone: Party /Vendor Address:
City State: Zip: Department: D APR mount: N/A purpose: Little i n l Park Caretaker
Appointment Budget Code(s): Vendor ## N/A (N/A i new vendor) Vendor is a B C consultant`? Yes No Contract
Type: (Cheek one) New M Renewal ❑ Anicndm nt El Effective Date March 3, 2012 Approved by Board Yes[] NoZ Agenda
Date: Title of Contract: Little River Regional Park & Natural Area Resident Caretaker Agreement
If this is a Grant Agreement, pre-application has been approved by the Board of ConuTd sinners Yes❑ NoD. If submitted for bid were
bids RF"Ps received Yes❑ Igo❑ Bid P FP number This contTaet has been reviewed and approved by the Department Director as to
tecluiii content:
Department Director's Signature: Date:
IT Director
lr tr l my to hart #wrii• so i-v r# ur•ehe -r ,s r rel(d d services) This contract has been reviewed and approved b the Information
Teel io Dir for as to teclniic i content and information tecluiology specifications:
IT Direct Is Sig Lure: Date:
Risk l Mana cinent
Include the following coverages: � L; ❑ Auto; El W ; El Professional; Property; Off. No Insurance-Required
❑ . Hold
Contract Pending receipt of Certificate of Insurance ith incorporation of Insura.n e provisions as shown, this contract i proofed
b t�7e Risk hanger: � ��`v� �€�% � �!�O..`�. �'1 11 M �� � >444tf 04t t� (>W dAd���
Risk lana ger's Sign attire: ow i-, A, W Date: Z I * �
a 0
Financial Services
This Contract is conditioned upon appropriation by the Board of Conmiissioners Yes❑ No budget amendment is necessary
before approval Yes❑ N If budget amendment i necessary, Tease attach to this form. fm's instrument has been pre - audited in the
manner required by the Loca Govemment Budget and Fiscal Control Act:
Financial Services Director's Signature: Date: � `�
Count)? Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction or any B CC
consultant contract). Approval by Manager 21 (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature Date:
County Man er
This contract has been reviewed and is approved by the County Manager Yoes No .
This contract has been reviewed and is for signature by the bai • es❑No l
r
Manager's Signature: Date:
6erk to the Board
rove on the -- day m of Submitted for Chair signature on the day of _ - , Zo�.
lr•Wirtur•c: Date: �-
Revised November 2011