HomeMy WebLinkAbout2012-120 S DEAPR - Jump Start for Athletics Instruction $2210 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.
Department
Party/Vendor Name: Jump Start Snorts Party/Vendor Contact Person: Amanda Martin Contact Phone:(440)479-0208 Party/Vendor
Address:7444 oodsprmg Lane City Hudson State:2 Zip:44,x¢ Department:DEAPR Amount:$2210.00 Purpose:Athletics
stru,1QIl Budget Codes}: 10511020 630000 Vendor# /A if new vendor) Vendor is a BOCC consultant? Yes❑No®
Contract Type:(Check one)New® Renewal❑ Amendment F Effective Date Apol 15.2012 Approved by Board Yes❑No®
Agenda Date: Title of Contract:Athletics Instruction
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yeso No❑. If submitted for bid were
bids/RFPs received Ycs❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: 5
IT Director
(Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information
TeXthe for as to technical content and information technology specifications:
IT nature: Date:
Risk Management
Inc wing coverages: ❑ COL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [ij- Hold
Contract pending receipt of Certificate of Insurance❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk anager's Signature: Date: 2, x••'
keyed 157/i7l/z 3copiw avvyr ./ c v-*nxfwQ
Financial Services
This Contract is condition d upon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes[]No If budget amendment is necessary,please attach to this form. Xis-, instrument has been pre-audited in the
manner required by the Loca Government Budget and Fiscal Control Act: l
Financial Services Director's Signature: Af*Nta Imo• ye, Date: 51 24
"j�m= 6izt
County Attorney
Approval by Board ❑ (Contracts $90,000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Managerost other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has bee rev' w�j mrd approv the Attorney as to legal form and sufficiency:
Attorney's Signature �' Date:
County Mannever
This contract has been reviewed and is approved by the County Manager Ye4!lNo❑.
This contract has been reviewed and is for signatur y the Ch ' Yes❑Ng0'r
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the____day of .20 Submitted for Chair signature on the—day of •20 `.
Clerk's Signature: Date:
Revised March 2012