HomeMy WebLinkAbout2012-223 S DEAPR - Jeane Seuys for Yoga Instructions $4,200 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 conh•act 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: Jeanne M. Seys PartyNendor Contact Person: Contact Phone:919 951-9581 PartyNendor Address:925
May Ridgee City Hurdle Mills State:NC Zip:27541 Department: DEAPR Amount:$4200 Purpose:Yoga Instruction Budget
Code(s):63op°oOVendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New
® Renewal❑ Amendment ❑ Effective Date July 1,2012 Approved by Board Yes❑No❑ Agenda Date: Title of
Contract:Yoga Instruction
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes0 Non. 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:
\'X Department Director's Signature: 742 16C;(2 Date; .7/6)1 2
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Te hnology irector as to technical content and information technology specifications:
IT Dir F's Signature: Date:
Risk Management
Ii elude the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; QfOR No Insurance Required 0. Hold
Contract pending receipt of Certificate of Insurance❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: nDr'J f� j�
Risk Manager's Signature: e(.""-i m.� .2 . w ' — Date: 1/10117"
— . '1)10
Financial Services
This Contract is condition d upon 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 Loca Government Budget and Fiscal Control Act: rJ
Financial Services Director's Signature: ��G1,cv J/• j41--- Date: `/14 (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[7,1 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency: / / e
/ 7//ih
Attorney's Signature (:� � I Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes❑TIo❑.
This contract has been reviewed and is to be submitted for : 1 CC consideration Yes❑No[-61
Manager's Signature: , / / `/ Date: 7 -/6 -/-
Clerk to the Board
Appr ved b OCC on the_day of ,20 . Submitted for Chair signature on the—day of ,20
Clerk's ature: Date:
Revised April 2010