HomeMy WebLinkAbout2012-405 S DEAPR - Wynette Clark $1,645 for Dance Instructions 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(lie legal review process prior to being routed for signature.
Department
PautyNendor•Name: Wynette Clark Party/vendor Contact Person: Wynette Clarkr Contact Phone:919-358-1800 Party/Vendor
Address: 1404 Birkdale Circle City Mebaf State:NC Zip:27302 Department:DEAPR Amount:$1645.00 Purpose:Dance
Instruction Budget Code(s):630000 Vendor#80609 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract
Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date November 14,2012 Approved by Board Yes❑Nog
Agenda Date: Title of Contract:
If this is a Grant Agreement,pre-application has been approved by tine Board of Commissioners YesQ No❑. If submitted for bid were
bids/RFPs received Yes[]Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: ll 21) Z
IT Director
(Applicable only to hardnvar•e/sofhvare purchases or related servlces)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: ❑ COL; ❑ 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:
Risk Manager's Signature: q�/�(,k-y�., �_ Date:
�_ iIle-i,Itz
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes❑No�f 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 Con JoAct-
Financial „�Services Dircctor's Signature: � Date:
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager%(AlI other contrac(s). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature F`4 Date: ll c30 `,_2
County Manager
This contract has been reviewed and is approved by the County Manager Yeses NNo❑.
This contract has been reviewed and is to be submi ed for 71Tr er Yes❑Nof
Manager's Signature; Date: Z”
Cie c to the Board
Approved by BOCC on the_day of ,20 ubmitted for Chair signature on the—day of ,20
Clerk's Signature: Date:
Revised April 2010