HomeMy WebLinkAbout2012-307 S Mgr - Club Nova Outside Agence $75,000 (j� ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing der: (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: Club Nova Party/Vendor Contact Person: Tracy Bethel Contact Phone: 919-968-6682 Party/Vendor Address:
103-D West Main Street City Carrboro State:NC Zip:27510 Department: Outside Agency Amount: $75,000 Purpose: Outside
Agency Budget Code(s): 10495050-719048 Vendor#805426 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No®
Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 07/01/2012 Approved by Board Yes®No❑
Agenda Date: 06/19/2012 Title of Contract:2012-13 O tside Agency Performance Agreement
If this is a Grant Agreement,pre-application has be a p oved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ m Bid/RFP nu r This contract has been reviewed and approved by the Department Director as to
technical content: n
Department Director's Signature: a L) D '�
T 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 informatio technology specificat,
IT Director's Signature: Date:
Risk Manage t
Include the following coverages: [Vf CGL; Rf Auto; W WC; W Professional; ❑ Property; ❑ OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance ff. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: n� Q Q
Risk Manager's Signature: ( C'Ww Date: Z-
- . . 81a1 lz
Financial Services
This Contract is conditioned pon 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 a d Fiscal Control Act: I
Financial Services Director's Signature: Date: y 1 Z
�,/ County Attorney
L�.
Approval by Board (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Mana er ❑ (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: t �Z
County Manager
This contract has been reviewed and is approved by the County Manager Yeso No❑.
This contract has been reviewed and is to be submitted for BOCC consideration YespNo❑.
Manager's Signature: � Date:
Clerk to the Board
Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of 120
Clerk's Signature: Date:
Revised April 2010