HomeMy WebLinkAbout2012-221 S DEAPR - Laura Casey Arts Camp Instructions c. / — / 0
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: Laura Casey Party/Vendor Contact Person: Laura Casey Contact Phone:919-357-0480 PartyNendor Address:
5141 Revere Road#44// Durham State:NC Zip:27713 Department:DEAPR Amount:$2400.00 Purpose:Arts Camp Instruction
is
Budget Code(s):6300500 o endor#59863 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check
one)New❑ Renewal® Amendment ❑ Effective Date July 9,2012 Approved by Board Yes❑No Agenda Date:
Title of Contract:Arts Camp Instruction
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners YesD 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: c4CP Department Director's Signatre: Date: 1(4412
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Techi logy irector as to technical content and information technology specifications:
IT Direct 's Signature: Date:
Risk Management
include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [ Hold
Contract pending receipt of Certificate of Insurance 0. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: 4'44 Risk Manager's Signature: U ' ' '~ Date: 21 II-
---- -,- ..._
. -1113
Financial Services
—This Contract is conditione upon appropriation by the Board of Commissioners Yes❑Not‹. 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
rummer required by the Local Government Budget and Fiscal Con mol Act:
Financial Services Director's Signature: �' ✓" - - Date: n
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 99(All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature Date: 7 1lia
County Manager
This contract has been reviewed and is approved by the County Manager YOrNo❑.
This contract has been reviewed and is for signature by the Ch is Yes❑No�
Manager's Signature:
I I / l l Date: 7 / (Q -(2"
crk to the Board
App ved by BOCC on the__day of ,20_. Submitted for Chair signature on the day of ,20___
Clerk' Signature: Date:
Revised November. 2011