HomeMy WebLinkAbout2012-255 S Aging - Celestine Boney for Barber Services $500 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
PartyNendor Name: Celestine Boney Party/Vendor Contact Person: same Contact Phone: PartyNendor Address: 1002 Statler
Drive City Durham State:NC Zip:27703 Department:Aging Amount: $500.00 Purpose:Barber Services Budget Code(s): 10430120-
629000 Vendor#61171 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type:(Check one)New❑
Renewal® Amendment ❑ Effective Date 07/16/2012 Approved by Board Yes❑No Agenda Date: Title of Contract:
Snr Ctr Instructor-Boney
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:
Department Director's Signature: Date: 4-4Z,
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director'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 ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: t�
Risk Manager's Signature: e .. 441 ,! X,- Date: [ (2-101
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No . A budget amendment is necessary
before approval Yes❑NoM. 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 Act:
Financial Services Director's Signature: 64 44-4./ , - Date: if 24fi 24f Z
County Attorney
Approval by Board El (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❑ (Most other contracts$1,000 and above). Department Director approval only,(Under
$1,000). This contract has be reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: T/.2iJi
County Manager
This contract has been reviewed and is approved by the County Manager YesO No❑.
This contract has been reviewed and is for sign e by the C r es❑No❑!
Manager's Signature: Date:
Clerk 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 March 2012