HomeMy WebLinkAbout2012-122 S DEAPR - Fun2Ref-Lynn Dunbar for Refree Services $6,200 20(2.-Mb
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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 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: Fun 2 Ref-Lynn Dunbar PartyNendor Contact Person: Lynn Dunbar Contact Phone:919-477-3533
Party/Vendor Address: 1105 Infinity Road City Durham State:NC Zip:27712 Department:DEAPR Amount:$6200.00 Purpose:
Referee Services Budget Code(s): 10511020-630000 Vendor#59066 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑
No Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date April 25,2012 Approved by Board Yes❑
No❑ Agenda Date: Title of Contract:Referee Services
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: SI iz J 12-
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 Directo i nature: Date:
Risk MannEement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required p: 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 colt L% Date: 5.L/• / 7i
1� �tC 'd s//?//Z C ative`5. or tyma/s,,?eut/w4,e)
Financial Services
This Contract is condition d neon 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. his instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Ac
Financial Services Director's Signature: etar4.-2,-, � Date: 5141 Z
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
consultant contract). Approval by Managest other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature i - Date. �'� 7� '�, 0.--- c".-377,2"....--: .4kZlis:;k\
County Managcr No _
This contract has been reviewed and is approved by th County Manager Y ❑.
This contract has been reviewed and is for si.natur the Chair Yes014
Manager's Signature: , Date: () �;?' -1 Z'
Clerk to le Board
Approved by BOCC on the_day of , . Si mined for Chair signature on tl d y of ,20_
Clerk's Signature: Date: 3V l
Revised March 2012