HomeMy WebLinkAboutR 2013-044 DEAPR - Hunter Scaggs for Guitar Instruction $560 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 thorough the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Hunter Scagos Party/Vendor Contact Person: Contact Phone: 919.544.5559 Party/Vendor Address: 1001
Fenwich Parkway City Durham State: NC Zip: 27713 Department: DEAPR Amount: 560 Purpose: Guitar Instruction Budget
Code(s): 630000 Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date January 15, 2013 Approved by Board Yes❑ No❑ Agenda Date:
Title of Contract: Guitar Instruction
If this is a Grant Agreement, pre - application lies 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:
Department Director's Signature: , qz� Date:
IT Director
(Applicable a to hcn•drvarelsojhrare purchases or related services) This coutract has been reviewed and approved by the Information
Technolo Director as to technical content and information technology specifications:
IT D' ec 's Signature: 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 ❑. Willi incorporation of Insurance provisions as sho%vii, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: 2 `I .r
Financial Services
This Conn is conditioned pan appropriation by the Board of Commissioners Yes ❑Nog.. 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: ( y 4 `'7 t-'-w � • A Date:
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 lies been iewed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: h 5 / 3
County Manager
This contract has been reviewed and is approved by the County Manager Ye No ❑.
Thi contr t has been reviewed and is for sign tore y Cl it Yes ❑No
Man. a Signature: Date:
Jer to the Boa
ApX y BOCC on t he day of , 20 — . Submitted for Chair signature on the day of 20
Clenature: Date:
Revised March 2012