HomeMy WebLinkAbout2012-083 S DEAPR - Elena Marinina $1,200 ORANGE COUNTY-CONTRACT CONTROL SHEET
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/Veudor Name: Elena Marinina PartyNendor Contact Person: Elena Marinina Contact Phone:919-943-6451 Party/Vendor
Address:3213 Annandale Road City Durham State:NC Zip:27705 Department:DEAPR Amount:$1200.00 Purpose:Piano and
Choral Camp Instruction Budget Code(s):630000 Vendor#61078 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No
Contract pe:(Check one)New® Renewal❑ Amendment ❑ Effective Date June 1 1,2012 Approved by Board Yes❑No
® Agenda Date: Title of Contract:Music Camps Instruction
If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content: t6tP Department Director's Signature: Date: 31211 h 2
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 Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [{Hold
Contract pending receipt of Certificate of Insurance D. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: v�
Risk Manager's Signature:�� l/n 'u Date: -L')_/
(Zr( (01-- -3/3...//?--
Financial Services
This Contract is condition d upon appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary
before approval Yes❑No . If budget amendment is necessary, please attach to this form. •s instrument has been pre-audited in the
manner required by the Lo Government Bud nd Fiscal ur ContJ ct:�
Financial Services Director's Signature: Date: i if Z
Countv Attorney
Approval by Board 0 (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager 12 (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature h Date: it/Slf;
County Manager
This contract has been reviewed and is approved by the County Manager Ye_041o0.
This contract has been reviewed and is for signature by the hair Yes❑Noe'
�) ,r/
/ / Date: L1 ` 7 /�i
Manager's Signature:
I rk to the Board
Approved by BOCC on the day of ,2Q . S bmitted for Chair signature on the day ur off" ,20 ,
V Y
Clerk's Signature: Date:
Revised November 2011 ! ,