HomeMy WebLinkAboutR 2013-192 Aging - David Sovero for Instructor $6,000 ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (/)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. Xf the Manager
determines the contract io not appropriate for Manager approval the Manager shall submit the contract for 8UCCapproval. Contracts for
B0CC approval must he submitted through,and complete,theoutingpn/ceaxpriortoug*ndurevievv. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor 4 David Sovero Party/Vendor Contact Person: ._-
000. se:Instructor Budget Code(s):
Apt. I City Hillsborough State:NC Zip:27278 Department:Aging Amount:A��00.9 __P�
10430120-629000 Vendor#57151 (N/A if new vendor) Vendor is a 1300��co !_Yes F�N_oZ Contract Type:(Check one)
New M Renewal Z Amendment M Effective Date July 1,2013 Approved by Board YesM NoF1 Agenda Date: Title of
Contract: Senior Center Instructor
If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners YesF1 NoEl. lf submitted for bid were
hidm/KPPs received yeeMNoE7 Bid/VF9 number This contract has been reviewed and approved hy the Department I}ircctornsto
technical content:
Department Director's Signature: Date:
UIT Director
(Applicable only^mhu,uwmraso/hvuro purchases o,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 Manaeemen
Include the following coverages: M CGL; M Auto; F1 WC; M9mfemoiwnal; M Property; OR No Insurance Require d Hold
Contract receipt n[Certificate ofInsurance [|. With incorporation of Insurance provisions uxmbovm,this contract is approved
by the Risk Manager:
Risk Manager's Signature: 4_k�A_,L4�t Date: �
Financial Services
This Contract iuconditioned appropriation 6y the Board ofCommissioners Yee[lNo& & budget amendment isnecessary
before approval YeeMNo&. lf budget amendment ia necessary,please attach ho this form. This instrument has been pre-audited 6othe
manner required hy the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: ffiw+� A Date: 46di"?
County Attorney
/\ppmvu| by Board M (C $90,0 00.00 or any 80CC
consultant ) Approval by Manager WH . Department Director approval only M(Under
$)`O0O). This contract has be d oved by the Attorney as to legal form aodeuffioie
Attorney's Signature Date: (1
County Manne
This contract has b
This contract has been
Manager's Signature: ,
- Clerk to the Board
Approved hy8OCCon the day of 20___. Submitted for Chair signature oo the___day mf 20____.
Clerk's Signature: Date:
Revised March 2012