HomeMy WebLinkAboutR 2013-201 Aging - Rebecca Sugg Instructor Dance for Joy Classes at Central Orange Senior Center $2,000 ORANGE CONTROL SHEET
Routing Order: (!)Department,(2) IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
lhio Document shall accompany all contracts and ehu||be submitted for signature in the Routing Order specified above. lf the Manager
determines the contract is 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.
0ei)artment
Puny/VondorNomc Rebecca Syg Party/Vendor Contact Person: same Contact Phone: PartyNendurAddreas:428 S Camellia
St City Chapel Hill State:NQ Zip:27516 D Aging Amount: $2,00.00 P Code(s):29430320-
630000 Vendor#b0912 if new vendor) Vendor iaaBOCCconsultant? Yom Contract Type:(Check one)New n
Renewal Amendment 0 Effective Date July 1,2813 Approved 6yBoard YoxnNon Agenda Date: Title of
Contract: Wellness Instructor
|[thioisa Grant Agreement, pre-application has been approved bythe Board of Commissioners l'ouFl}JuFl. If submitted for bid were
bids'KFPm received YconNon Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date:
IT Director
(ApIdicable 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:
|T Director's Signature: Date:
Risk Manaaernent
Include the following coverages: F CGL; El Auto; n WC; 0 Professional; E Property; OR No Insurance Required []'.
Bold
Contract pending receipt o[Certificate uf Insurance El. With incorporation of Insurance provisions as shown,this contract is approved
hy the Risk Manager:
Qisk Manager's Signature: Date: '
Financial Services
This Contract is conditioned appropriation by the Board ufCommissioners "yooE]m"[E� A budget amendment isnecessary
bc|o,c approval YcaE] No[ST |f budget amendment is necessary,please attach 0othis form. This instrument has been pre-audited in the
manner required 6y the Local Government Budget
Financial Services Director's Signature: Date: �
County Attorney
Approval by Board F� (Contracts $90000 or more for goods or services, $250,000,00 or more for construction, or any BOCC
co,`u|mn| con/mcd. Approval by Manager[&(K4ost other contracts$l,000 and uhuvc). Department Director approval only F1 (Under
3|,0(x)), This contract h proved by the Attorney as to legal form and suffi 'e
Anorocy`y9igomu/nr Date:
County Manazer
This contract has been reviewed and is approved 6v the County Manager YeAa&on.
This contract has been reviewed uudis8n signature
Manager's Signature: 0/6 Date: " ~�^
Clerk to the Board
Approved by8DCCon the___day of 20____ Submitted for Chair signature on the day nf 28____
Clerk's Signature: Date:
Revised March 2012