HomeMy WebLinkAbout2012-144 thru 152 Aging classes �
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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 Documen 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/Vendor Name: Wellness Pro• am nstructors Party/Vendor Contact Person: see attached Contact Phone: Party/Vendor
Address: City State: Zip: Department: Aging Amount: $2400000 Purpose: classes Budget Code(s):
29430320-630000 Vendor# if new vendor) Vendor is a BOCC consultant? Contract Type: (Check one)
New[| Renewal El Amendment 0 Effective Date 07/01/2012 Approved by Board l,eo0NoZ Agenda Date: Title of
Contract:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners ycs0 No0. If submitted for bid were
bids/RFPs received yesFl No[l Bid/RFPuumboc This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 6-/Y-AZ'
IT Director
(Applicable only m6uo/wuru6oft°urp purchases or related services)This contract has been reviewed and approved hy the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: Li CGL; 0 Auto; Fl \9C; CI Professional; Fl Property; OR No Insurance Required [Er Hold
Contract pending receipt of Certificate of Insurance . With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
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0KAyk��unmger,oSignature: ' Date: u/ • )-('(z-~
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Financial Services
This Contract is conditio c* pon appropriation by the Board of Commissioners `yeo0N A budget amendment is necessary
before approval YesLi \gntil. If budget amendment is necessary, please attach to this form. T i instrument has been pre-audited in the
manner required by the Local Government Bud Control Act:
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Financial Sorv�mv]0�eotox"oSignature: ~ "w~*`-�°�� �~' — Date: / ^
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County Attorney
Approval by Board 0 (Contracts $90.000D0 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval only 0 (Dndnr
$1,000). This contract has reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's ^
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County Manager
This contract has been reviewed and is approved by the County Manager YcxE]NoEj.
This contract has been reviewed and is for signature b the Cha NoFl.
Si � Date: � ],-'Muougur`o8igmatarw: ~—�
Cler o the Board
Approved by BOCC on the day of , 20 . Submitted for Chair signature on the day of ,20. .
Clerk's Signature: Date:
Revised March 2012