HomeMy WebLinkAboutR 2013-121 DEAPR - Elena Marinina for Piano and Choral Camp Instruction $1,500 4?oa�- lz�
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.
Deuartment
Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: 9 -943 1 artyNendor
Address: 3213 Annandale Road City Durham State:NC Zip:27705 Department: DEAPR Amou 00 P ose: Piano and
Choral Camp Instruction Budget Code(s): 630000 Vendor#61078 (N/A if new vendor) Ven onsultant? Yes❑No
® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date June 10,2013 Approved by Board Yes[:]No
❑ Agenda Date: Title of Contract: Piano and Choral Camp
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: 23 /1's
IT Director
(Applicable only to Xe: e/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director a chnical content and information technology specifications:
IT Director's Signatu Date:
Ri sk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required 12. 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: �C " °'"" /� Date: q11_6113
�i�f�• -.+, I M
Financial Services
This Contract is conditioned on 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. This instrument has been pre-audited in the
manner required by the Local Government Buuet and Fiscal Control Act q/v`7'/
Financial Services Director's Signature: k"t." 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 Manageost other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been reviewe d approved by the Attorney as to legal form and sufficiency:
Attorney's Signature _ Date:
County Manager
This contract has been reviewed and is approved by the Co my Manager Y�s�"N0
This contract has been reviewed and ' r ig ture by Chair Yes❑N�
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC th day of ,20 . Submitted for Chair signature on the_day of_ 20
Clerk's Signature. Date:
Revised March 2012