HomeMy WebLinkAbout2012-339 S DEAPR - Sharon Payne for Zentangle Instruction $840 ORANGE COUNTY—CONTRACT CONTROL SHE' T
Routing Order: (I)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 bebng routed for signature.
Department
PartyNendor Name: Sharon Payne PartyNendor Contact Pelson: Contact Phone:919 621-3439 Part Wendor Address: 121 N.
Nash Street City Hillsborough State:NC Zip:27278 Department:DEAPR Amount:$840 Purpose:Zentangle Instruction Budget I1i5tl04W-448
Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoQ Contract Type:(Check one)New
® Renewal❑ Amendment ❑ Effective Date August 22,2012 Approved by Board Yes[]NoF Agenda Date: Title of
Contract:Zentangle Innsirretion
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: �i��hf .
Department Director's Signature: Date:
IT Director
(Applicable oad),to hardwarelsof ware purchases or related services)This contract has been reviewed and approved by the Information
Te YMU Director as to technical content and information technology specifications:
IT _ Sign ature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required d 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: ��'�~'` r Date: 2 b -
Financial Services
This Contract is conditioned jupon appropriation by the Board of Commissioners Yes❑No . P.budget amendment is necessary
before approval Yes❑No 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: U&'-, ✓/ a Date:4 4 2 7,
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❑(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: o2g1.1,2
County Manager
This contract has been reviewed and is appr vet by tine unty Manager
This contract has been reviewed and is fo . a e it Yes o
Mang •'s Signature: / Date:
Clerk to the Board
Annroved bar ROCC on the_day of ,20 Submitted for Chair signature on the day of ,20
Cierlc.'s Date:
Revised March 2012