HomeMy WebLinkAboutR 2013-059 Aging - Barbel Besseyre for Astrology Classes at Seymour Center $900 X013-05�
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: Barbel Besseyre Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address: 8601 Little
Creek Farm Rd City Chapel Hill State:NC Zip:27516 Department:Aging Amount: 900 Purpose: Senior Center class Budget
Code(s): 10430120-629000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check
one)New® Renewal❑ Amendment ❑ Effective Date 02/25/13 Approved by Board Yes❑No❑ Agenda Date: Title
of Contract:
If this is a Grant Agreement,pre-application has 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: ®. Date: of
IT Director
(Applicable only to hardware/software purchases or related services)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: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Require 10,. 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: l.C�` -'^' �. /d"'� Date:
z11-11-7 0
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoE?/ A budget amendment is necessary
before approval Yes❑NoM.If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Z /&,,,Bu/d�g�et and Fiscal Control Actt:
�t Financial Services Director's Signature: Q"'i'"t^'' , Date: _7
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BO
consultant contract). Approval by Manager❑ (Most other contracts$1,000 and above). Department Director approval onl nder
$1,000). This contract has been viewed d appr ed by the Attorney as to legal form and sufficiency:
-- ���
Attorney's Signature Jlk Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes❑No❑.
This contract has been reviewed and is for signature by the Chair Yes❑No❑.
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