HomeMy WebLinkAbout2012-170 thru 180 Brinn, Dalimonte, Kiel, Marting 2, Marrickm Mead, Ray, Slapo, Smith, Soveno for Classes $20,000 /
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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 opecifiudabove. 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: Senior Center Program Instructors Purty/VeudorCootuct Person: see attached Contact Phone:
yuny/9cudnrAddrcxy: City State: Zip: Department: Aging Amount: $20.00000 Purpose: classes Budget
Code(s): 10430120-629000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes E NoE Contract Type:
(Check one)New fl Renewal (XI Amendment E Effective Date O7/Ol/20\2 Approved by Board yco[lNo[2] Agenda Date:
Title of Contract: Senior Center Instructor
If this is a Grant Agreement,pre-application has been approved by the Board of CommiooioucmYcx0 NoLl. If submitted for bid were
bidy/RFPo received l'oo[] NoFl Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: ~^ Date: 6-Ar-,./z
IT Director
(Applicable only to ha 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: 0 CGL; D Auto; E] WC; E Professional; rj Property; OR No Insurance Required rig-.----Flo|d
Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown, this contrac is approved
by the Risk Manager:
Risk ��o�U&umu�w�^u8i�amtm� Date: /��.Date: z
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Financial Services
This Contract is ' appropriation by Board ��o:x
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w� A budget amendment is necessary
before approval es[] � � l[buu*�tuu�udm�^ `ion�cexou,y. y|cuueuuuch»o this foon' This inouoocothas been p,eauJited in the
manner required by the Loc [oveonocntBudg:«
and FiuculContr |Axt.
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Financial Services Director's Signature: LeC~e..—w= Date: t
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County Attorney
Approval by Board �� (Contracts $90.000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
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consultant contract). Approval b Manager (Most other contracts$1,000 and above). Department Director approval only ] (Under
$),000). This contract has d and approved hy the Attorney uo\o legal form and sufficiency:
Du�c ��C* ��"�
Attorney's Signature � ,
r �County Manager
This contract has been reviewed and is approved b the County Manager Ye % N•Si.
This 000�ucthas been revicn'cdand i ru' Chair `�oo[]Y�oN�
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Manager's Signature: � ' ~ ~ d�N�' C�mz: �'� �m�
Clerk to the Board
Approved by BOCC on the day of , 20 . Submitted for Chair signature on the day ny .20___.
Date:
Clerk's �
b:r�`n8��outo�o�
Revised March 2012