HomeMy WebLinkAbout2012-311 S Aging - Harrison Brooke Senior Center Bridge Class $4,000 Q1
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: Harrison Brooke Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address: 5323
Oakbrook Drive City Durham State:NQ Zip:27713 Department: Aging Amount: $4,000.00 Purpose: senior center bridge class
Budget Code(s): 10430120-629000 Vendor 4 58534 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract
Type: (Check one)New❑ Renewal Z Amendment ❑ Effective Date 09/01/2012 Approved by Board Yes❑NoZ Agenda
Date: Title of Contract: Senior Center-Brooke
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: Qm" &4 al-I Date: f-g 14
0 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; F-1 WC; ❑ Professional; ❑ Property; OR No Insurance Required 1� Hold
Contract pending receipt of Certificate of Insurance With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date:
al L01 I z:
Financial Services
This Contract is conditioned_Oon appropriation by the Board of Commissioners YesE]Nom/ A budget amendment is necessary
before approval Yes❑Nol M. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budge l and Fiscal Control Act:
Financial Services Director's Signature: Date:
County Attornev
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� (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has bee reviewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Z*4wv� Date:pia
County Manager
This contract has been reviewed and is approved by the County Manager Yes]2140m.
This contract has been reviewed and is for sl* ture by the 9hair YesF-lNog,.-
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