HomeMy WebLinkAbout2012-267 S DEAPR - Elena Marinina for Piano Instruction $4,066 aol,A.4c12
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
Party/Vendor Name: Elena Marinina PartyNendor Contact Person: Elena Marinina Contact Phone:919-943-6451 PartyNendor
Address:3213 Annandale Road City Durham State:NC Zip:27705 Department:DEAPR Amount:4066.00 Purpose:Piano
instruction Budget Code(s):630000 Vendor#NC (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No// Contract
Type:(Check one)New® Renewal ❑ Amendment ❑ Effective Date July 28,2012 Approved by Board Yes0 No Agenda
Date: Title of Contract:Piano and Voice Classes
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: OP Date: 71 19 112-
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Te hnolo Director as to technical content and information technology specifications:
IT D' tor's Signature: Date:
Risk Management,
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [r. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: /�/�j� /`��
Risk Manager's Signature: eta/44 ii. �� Date: if z l 12_
P . rr['l I r.
Financial Services
This Contract is conditioned,�pon appropriation by the Board of Commissioners Yes❑No f.. A budget amendment is necessary
before approval Vest]No If budget amendment is necessary,please attach to this fore. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act:
I /
Financial Services Director's Signature: c(. ). �7 t % Date: '7 244 I Z.
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 in(All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
/4 / /
Attorney's Signature 4 ! Date: 7 7/,Z
County Mai u a¢ t e.
This contract has been reviewed and is approved u y the County anager Yes0 No0.
This contract has been reviewed and is for ': n,I•e, ihi Ch/lr ❑No 7.-//
Manager's Signature: Date: `
Jerk 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 November 2011