HomeMy WebLinkAbout2012-097 S DEAPR - Brian Braxton for Golf Camp $2,400 - 1 Nok'. P(s
X91 y< sz� P'+- �- .a
z�',z- A(,w(.4 bw
ORANGE COUNTY—CONTRACT CONTROL SHEET •" �c
Routing Order: (I)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk ~_ " 4-
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager Code•
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.
7
De nartment
1051 tipRA> -• (e30o�
PartyNendor Name: Brian Braxton Party/Vendor Contact Person: Contact Phone:732-3435 PartyNendor Address:PO Box
759 City Hillsborough State:NC Zip:27278 Department: mount:$2400 Purpose:Golf Camps Budget Code(s):(
Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New❑ Renewal
® Amendment ❑ Effective Date May 1,2012 Approved by Board Yes❑No❑ Agenda Date: Title of Contract:Golf
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:
Department Director's Signature: Date: kb 7/12
IT Director
(Applicable only to hardware/sofhr'are 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 Ilk Hold
Contract pending receipt of Certificate of Insurance 0. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: 1'L€ Dale:4-/ .7-3 ' /7i
c. %d O`FIB&,/ _ �
Financial Services
This Contract is conditions upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval YesO No . if budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Loco Government Bud !and Fiscal Control Act:
Financial Services Director's Signature: tL , J. 4 Date: 4`2141 Z
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager 0(All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature ` Date: !tJq 74
Con Manager
County er g
This contract has been reviewed and is approved by the County Manager Yes do❑.
This contract has been reviewed and is to be submitte for BOCC consideration Yes o l
Manager's Signature:
^�� ' Date: 7 9 I Z�
Clerk to the Boaxd-
Approved by BOCC on the day of ,20 't'∎runt:' for Chair signature on theme ,20`
Clerk's Signature: '1 Date: ( 'Z-
i
Revised April 2010