HomeMy WebLinkAboutR 2013-202 Aging - Sandra Smith Instructor Crazy Quilt and Mixed Media Art Classes $3,000 ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (l)Department,(Z)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 iu not appropriate for Manager approval the Manager shall submit the contract for BQCCapproval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
ho completed through the legal review process prior to being routed tbrmiguuture.
Department
Porty/VcndorY4umc: Sandra Smith Party/Vendor Contact Person: same Contact Phone: 114 Cheshire Dr
City Hillsborough State:NC Zip:27278 I' Agiuc A $3,08{U0} Code(s):
629X000 Vendor#6ll20 f new vendor) Vendor ivaBOCCconsultant? Yes Contract Type:(Check one)New|l
Renewal Amendment [I Effective Date July 1,2013 Approved byBoard YnoEj Non Agenda Date: Title of
Contract: Senior Center Instructor
If this is Grant Agreement,pre-application has been approved by the Board of Commissioners Yoo[]NoF]. If submitted for bid were
bidu/KFPx received Ycmnl4oEl 8id/DFy number This contract has been reviewed and approved by the Department Director aato
technical content:
0epumtmm«|�ir*etn�,w��Qeu�opo� Date:
om
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:
IT Director's Signature: Date:
Risk Manaaement
Include the following coverages: n CQL; Fl Auto; n WC; El Professional; Fl Property; OR No Insurance Require e 8oki
Contract pending receipt o[Certificate u[Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
rl,I,I
Risk Manager's Signature: Date: 7
Financial Services
This Contract is conditioned pon appropriation by the Board ofCommissioners YemnNod A budget amendment isnecessary
before approval Yoony4o . If 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 t:
9� fY
Financial Services Director's Signature: LAa~�`�~ ^/�' Jul Date: �y Ij
County Attorney
Approval by Board [] (C $900000 for goods or services, $250,000.00 or more for construction, 0CC
consultant contract). Approval by Manager N�(Most other contracts$1,000 and above). Department Director approval only El (Under
S 1.000). This contract has Vrev* and approved by the Attorney as to legal form and suffici n-y-
Attorney's Signature Date:
County imylanage
This contract has been reviewed and is approved by the County Manager Ye*ff�IOFI.
This contract has been reviewed and is for signature by the h ir YesnNo2---
Manager's Signature: Date? 13
Clerk to the Board
Approved by BOCC on the_day of 20_. Submitted for Chair signature on the day of 20
Clerk's Signature: Date:
Revised March 2012