HomeMy WebLinkAbout2012-220 S DEAPR - Joel Wayne Leonart for Theatre Camp Instruction $1,800 Kb
ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (I)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
PartyNendor Name: Joel Wayne Leonard PartyNendor Contact Person: Joel Wayne Leonard Contact Phone:919-383-7589
PartyNendor Address:2501 Pleasant Green Road City `grlram State:NC Zip:27705 Department:DEAPR Amount:$1800.00
Purpose:Theatre Camp Instruction Budget Code(s):63OIJ O Vendor#056876 (N/A if new vendor) Vendor is a BOCC consultant?
Yes❑No Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date July 16,2012 Approved by Board
Yes❑No Agenda Date: Title of Contract:Theatre Camp
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:
epartment Director's Signature: Date: 7 �o '2
(21 I1
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
T Irmo gy Director as to technical content and information technology specifications:
IT r tor's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required 121/. Hold
Contract pending receipt of Certificate of Insurance D. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: f n r
Risk Manager's Signature: 44%4A, t) • Date: ( JOl I L
- mac . 1110
Financial Services
This Contract is conditione pon 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. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: 611 /d ct"""am Date: ,I���f' --
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 Manager N(All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature iliiht
r
County Manner 6 This contract has been reviewed and is approved by the County Manager Yes[]No❑.
This contract has been reviewed and is for signature by the Cha'• Yes❑Noa-
Manager's Signature: I l / 1' Date: 7-1C --/ Z/
a erk to the Board
Appr ved by BOCC on the day of ,20` Submitted for Chair signature on the—day of ,20
Clerk' gnatu•e: Date:
Revised November 2011