HomeMy WebLinkAboutR 2013-1910 Aging - Jinxiu Alice Zhao for Instructor $4,000 -_ p�� l
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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 bc submitted for signature in the Routing Order specified above. If the Manager
determines the contract io not appropriate for Manager approval the Manager shall submit the contract for BUCCapproval. 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
Name: Jinxiu Alice Zhao Party/Vendor Contact Person: same Contact Phort6:� Party[Vendor Address: 807
Fenwick Parkway City Durham State:NC Zip:27713 Department:Aging Amoun - 4 000 00 rpose: Instructor Budget Code(s):
10430120-629000 Vendor#58269 (N/A if new vendor) Vendor is a BOCC con es n NoZ Contract Type:(Check one)
4, *!dd
New E] Renewal 8oueuUouent LJ Effective Date July 1,2013 Approved byBoard YeonyVoE] Agenda Date: Title of
Contract: Senior Center Instructor
If this iva Grant Agreement,pre-application has been approved by the Board of Commissioners YemE]YVoFl. lf submitted for bid were
bida/KFPo received Ycu[lNoFl 8id/&FP number 'This contract has been reviewed and approved 6y the Department Director uato
technical content:
Department Director's Signature: Date.
IT Director
(Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
0T Director's Signature: Date:
Risk Manazernent
Include the following coverages: n CGL; E] Auto; n WC; El Professional; n Property; OR No Insurance Required Dd Hold
Contract pending receipt o[Certificate ofInsurance E]. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Du/c: V� ��� y I?
Financial Services
This Contract is oonddo ed on appropriation by the Board ofCommissioners Yem[—hNoz /\ budget amendment is necessary
before uppnuvu| YeoE] No , l[budget amendment is necessary,please attach tothis 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: Date: ~~
County Attorney
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Approval by Board [] ( $90,000M $250,000.00 or more for construction, or any B()CC
consultant contract). ApprovI El (Under
h S\,UU0). This contra vie e d approved by the Attorney as to legal form and s Attorney's Signature Dn�ufU
County Manner
This contract has been reviewed and i approved hyi
This contract has been reviewed and i
Manager's Signature: Date:
Clerk to the Board
Approved byBOCCon the day of 120 . Submitted for Chair signature on the day of 20___
Clerk's Signature: Date:
Revised March 2012