HomeMy WebLinkAbout2012-222 S DEAPR - Wynette Clark Dance Camp Instructor $2,000 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. lithe 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 tluough,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: Wynette Clark Party/Vendor Contact Person: Wynette Clark Contact Phone:919-358-1800 Party/Vendor
Address: 1404 Birkdale Circle, ly, ebane State:NC Zip:27302 Department: DEAPR Amount:$2000.00 Purpose:Dance Camp
Instructor Budget Code(s):630 66 endor U 60836 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No// Contract
Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date June 11,2012 Approved by Board Yes❑No Agenda
Date: Title of Contract: Dance Camp Instructor
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: 4(9 Department Director's Signature: Date: 7141 2
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Tc molo Director as to technical content and information technology specifications:
IT D ctor's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required d. Hold
Contract pending receipt of Certificate of Insurance O. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: �✓ 'l/ Jd Date: /J[ 4
,1110
Financial Services
This Contract is Condition d upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes❑NoNi. 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�1ct:
/
Financial Services Director's Signature: "l• n tom- �(/• /'`� Date: -r`10(lZ
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for constniction, or any BOCC
consultant contract). Approval by Manager($(All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency: /
Attorney's Signature ti' Date: 7/////L
County Manager
This contract has been reviewed and is approved by the County Manager Ye0No0,
This contract has been reviewed and is for signs i - by the l it Yes❑No[
Manager's Signature: Date: 7 2
erk to the Board
A roved by BOCC on the day of ,20 . Submitted for Chair signature on the_day of ,20 .
er tune: Date:
Revised November 2011