HomeMy WebLinkAbout2012-224 S DEAPR - Carla Laws for Acrobics Instruction $ 2,400 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 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: Carla Laws PartyNendor Contact Person: Contact Phone:919 732-4461 Party/Vendor Address:408
Lafayette Drive City Hillsborough State:NC Zip:27278 Department:DEAPR Amount:$2400 Purpose:Aerobics Instnictiou Budget
Code(s): 5''4w Vendor ti (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No►I Contract Type:(Check one)New
® Renewal IIJI Amendment 0 Effective Date July 1,2012 Approved by Board Yes❑Nola Agenda Date: Title of
Contract:Aerobics Instruction
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Nola 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: J2 Date: ?kb Z
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Tecimology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ COL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ("OR No Insurance Required D. Hold
Contract pending receipt of Certificate of Insurance 0. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: M }'�
Risk Manager's Signature: eL�t� .F/► i "- Date: 1[I d 1,2'
`*C,--. . '7t'to
Financial Services
This Contract is conditiotFd,upou appropriation by the Board of Commissioners Yes❑Nog. 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 Cont of Act: r1/ f
Financial Services Director's Signature: q a/b(n.tn/ ,�. Date: _ (( 1 11—
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 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature 17.14 Date: j/1/11.2
County Manager
This contract has been reviewed and is approved by the County Manager Yesp-H00.
This contract has been reviewed and is to be su nitte or :O C consideration Yes❑No[r
Manager's Signature: I / Il/ Date: 7"/6 `l-
0
erk to the Board
Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the`day of ,20_
Clerk's Signature: Date:
Revised April 2010