HomeMy WebLinkAboutR 2013-023 Health - Avis Barnes for Cedar Ridge High School TRU Club Advisor $500 ORANGE CONTROL SHEET
Routing Order: (\)Department,(Z) IT,(3)Risk Management,(4)Financial Services, (5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and mhoU 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
B0CC approval must be submitted tbrough, and complete,the routing pnnccmo prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Puny/VrndorNnme: Avis Barnes. Party/Vendor Contact Person: Avis Barnes. Contact Phone: (AlO)245-400Ux2\867. Party/Vendor
Address: 3113 (]en|eeDdve. City Durham. State: NC Zip: 27704 Department: Health Amount: $500 Purpose: Cedar Ridge High
School TRU Club Advisor BudgmCode(a): 10412020_ 630000 Vendor#523)3 (N64iy new vendor) Vendor inuBUCCconsultant?
You 0 4oZ Contract Type: (Check one)New n Renewal
Z Amendment El Effective Date July l,2012.
If this ixa Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No T[submitted for bid
were bide/8Fpa received Ycwn Non. Bid/KFP number This contract has been reviewed and approved by the Department
Director ontotechnical content:
Department Director's Signature: Date:
4T Director
(Applicable only/ohoruworo6oftworo purchases o,related services)This contract has been reviewed and approved hy the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
�
Include the following coverages: n CGL; [] Auto; n |; n Property; n OR No Insurance Required '—/ Hold
Contract pending receipt of Certificate of Insurance D. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: v
Financial Services
�
This Contract is conditioned upon appropriation by the 8nond of Commissioners `�naFll�o[��/ A budget amendment is necessary
hofb,o approval YcoEl No[o. l[budget amendment is necessary, p\cuec attach to this form. This instrument has been pre-audited in the
manner required 6y the Local Government Budget and Fiscal Control Act:
�� �
Financial Services%^beotor,mSignature: �t^�,~� D�, �
Approval by Board R (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager �6 (All contracts
$25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date:_111912
County Manner
This contract has been reviewed and is approved by the County Manager Ye on.
This contract has been reviewed and is t in B CC conside�ati on YesE]N<:f
Manager's Signature: 77V Date:
Approved by Board Yeso NoE] Agenda,Zte: Clerk to the Board
Clerk's Signature: Date: