HomeMy WebLinkAboutR 2013-214 Aging - Nancy Alton for Instructor $10,000 Ll
ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (|)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Mauu8cr,(7)Clerk
This Document shall accompany all contracts and ohuU be auhmh1od for signature in the Routing Order specified uhnvc. 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 revi,,-w. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Nancy Alton PartyNendor Contact Person: same Conta Phone- rty/VeudorAddneoy:39]7 1Mg[khyn
Place City Hillsborough State:NC Zip:27278 Department:Aging Amount: 10 urpose: Instructor Budget Code(s): 10430120-
Vendor if m1 Vendor is uB0CC Yes[]N`Z Contract Type:(Check one)New
r_l Renewal Amendment Fl Effective Date July 1,2013 Approved byBoard YeuF1 y4oF Agenda Date: Title of
Contract: Wellness Instructor
|[this iou Grant Agreement, pre-application has been approved hy the Board of Commissioners 'y emMNmr-1. If submitted for bid were
hids/RFPs received ycoFlNoF� Bid/RFP number This contract has been reviewed and approved by the Department Director ue»o
technical content:
Department Director's 8igomkenu:
e *o� —
Date:
IT Director
(4pplicuble only to hardwarelsoftware purchases or related services)This contract bumheeorevie`vedoodapprovudbytheIutboou1ion
Tcchno}ugy Director oson technical content and information technology mpccifivatiwua:
IT Director's Signature: Date:____________
Risk Manaiiement
Include the following coverages: Fl CGL; F� Auto; F� WC; Fl {rnteukum|; Fl Property; OR No Insurance Require g. Bu(d
Contract pending receipt of Certificate of Insurance []. With incorporation of Insurance provisions os shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date:__ /
Financial Services
)
This Contract is conditioned appropriation hythe Board ofCommissioners Yeo[lNoff /\ budget amendment imnecessary
before approval YuoMlyoa. If budget amendment im necessary, please attach hm this form, This instrument has been pre-audited iothe
manner required bythe Local Government Budget and Fiscal Control A
Financial Services 0`ireuAar,mSignature: L� _Duto: 7
County Attorney
Approval by Board El (C $9O8OOU for d services, $250,000.00 for construction, or any 80CC
consultant contract). . Department Director approval only Fl(Under
S|/)00), This contract has been neipwed aRproved by the Attorney as to legal form uudaufG
Attorney's Signature Date:__
County Manaae
This contract has been reviewed and is approved hy the County Manager YesPFNoEl.
This contract has been i d and i �
OVJ
Manager's Signature:
7
Clerk to the Board
Approved byBOCCon the day of 20 . Submitted for Chair signature oi the day of 120____
Clerk's Signature: Date:_____________
Revised March 2012