HomeMy WebLinkAboutR 2013-018 DEAPR - Caroline Johnston Dance Instruction $1700 �t3-Ol8
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.
Denartnnent
Party/Vendor Name: Caroline Johnston PartyNendor Contact Person: Caroline Johnston Contact Phone:919-830-5177 Party/Vendor
Address:9055 Hwy 39 S City Henderson State:NC Zip:27537 Department:DEAPR Amount:$1700.00 Purpose:Dance Instruction
Budget Code(s):630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check
one)New® Renewal❑ Amendment ❑ Effective Date January 9,2013 Approved by Board Yes❑No® Agenda Date:
Title of Contract:Dance Instruction
If this is a Grant Agreement,pre-application has been approved by the Board of Conunissioners Yes❑NoQ. 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: n
Department Director's Signature: / �.�' c U `r- Date:
IT Director
(Applicable only to ha dware/sofAi-are pin-chases or related services)This contract has been reviewed and approved by the Information
Technolo y.'Director as to technical content and information technology specifications:
IT Dir' os Signature: Date:
Risk Management �/
Include the following coverages. ❑ COL; ❑ Auto; ❑ WC; E] Professional; El Property; ❑ OR No Insurance Required [5 Hold
Contract pending receipt of Certificate of Insurance❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: nnII/y
Risk Manager's Signature: Vl lGv �• Date: 3
�. ►1'71 C3
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes QNo A 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: � 4� t.•� f• AIV41 Date: 1� ( 3
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 N (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
fonn and sufficiency:
Attorney's Signature Date: 1 01 i3
County Manager
This contract has been reviewed and is approved by the/County Manager YeJIM NoQ.
This contract has been reviewed and' " s mitt for CC consideration Yes❑NoQ--'
Manager's Signature: Il Date:
Cleric to the Board
Appro d by BOCC on the_day of ,20 Submitted for Chair signature on the_ day of ,20
Cl 's Signature: Date:
Revised April 2010