HomeMy WebLinkAbout2012-232 S DEAPR - Darroll Andrew Brown for Tennis Lessons $1,5120 •
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.
Dena rtmcnt •
PartyNendor Name: Darroll Andrew Brown PartyNendor Contact Person: Contact Phone:919 740-2693 PartyNendor
Address: 113 Tuscarora Dr City Hillsborough State:NC Zip:27278 Department: DEAPR Amount:$1512 Purpose: Tennis Lessons
Budget Code(s)•1�u00'Vendor#6,o6--(NIA if new vendor) Vendor is a BOCC consultant? Yes❑No Contract
�3poov ® Type:(Check .
one)New® Renewal❑ Amendment ❑ Effective Date July 1,2012 Approved by Board Yes❑No❑ Agenda Date:
Title of Contract: Tennis Lessons
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were.1.
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:
)-() _ Date: 7 l s12 1
IT Director
(A plicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Te ogy Director as to technical content and information technology specifications:
IT Di tor's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required Eil.: Hold
Contract pending receipt of Certificate of Insurance❑. With incorporation of'Insurance provisions as shown,this contract is approved
by th Ri Manager:•
Risk 'lager's Signature: 414,..4.-4./ • eitA---" Date:. 11101 I L
Financial Services
This Contract is condition 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. T s instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Ac •• n
Financial Services Director's Signature: ,� Date: U q i(L
CC 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(Alt other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature • Date: 7////j 9..
County Manager
This contract has been reviewed and is approved by he County Manager Yes go❑.
Lotd
This contract has been reviewed and is for sigi ure the al, YesDNoar
Manager's Signature: t /i // Date: 7-/ Z-
V/
lerk to the Board .
Approve by BOCC on the day of ,20 . Submitted for Chair signature on the_day of ,20
Clerk' 'gnature: Date:
Revised November 2011