HomeMy WebLinkAboutR 2013-186 DEAPR - Phil Cox for Enviornmental Summer Camp $1,200 a01�- 1�
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: Phil Cox Party/Vendor Contact Person: Phil Cox Contac hone: 9 9-816-6678 Party/Vendor Address: 603 Flint
Ridge Rd. City SilerCi State:NC Zip: 27322 Department: DEAPR Amo t: 120 Purpose: Enviornmental Summer Camp
Budget Code(s): 630000 Vendor# (N/A if new vendor) Vendor is a nsultant? Yes E]No® Contract Type: (Check
one)New® Renewal ❑ Amendment El Effective Date June 24,2013 Approved by Board Yes❑No® Agenda Date:
Title of Contract: Enviornmental Camp Coordinator
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: (,10113-
IT Director
(Applicable only to(hrdwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information
Technology Direct s to technical content and information technology specifications:
IT Director's Si re: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required [1]�� Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: nD
Risk Manager's Signature: Date:4 w1;
6114 l 1:3
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[Q/ A budget amendment is necessary
before approval Yes❑No[ tf 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:�n
Financial Services Director's Signature: VA4 k,_, P Date: (—.61 l a
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;21—most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has bee rev wed an by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
,/-/ f-/3
County Manager
This contract has been reviewed and is approved by the County Manager Ye ❑.
This contract has been reviewed and is for signature by t hair Yes❑N
Manager's Signature: Date:
Clerk to the Board
Approve by BOCC on the_day of 20 . Submitted for Chair signature on the_day of 20
Clerk's Si re: Date:
Revised March 2012