HomeMy WebLinkAboutR 2013-228 DEAPR - Phillip Cox for Ecology Camp Instruction $1,500 �ot3 -zz�
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 be submitted for signature in the Routing Order specified above. 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 review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Phillip Cox Party/Vendor Contact Person: Phillip-Cox Contact Pho 16-6678 Party/Vendor Address: 603
Flint Ridge Roa ler City State:NC Zip: 27344 Departm : DEAPR-Amou . 1500.0 rpose: Ecology Camp Instruction
Budget Code(s): 6 �OOendor#59134 (N/A if new vendor) a rs a BOCC ant? Yes ❑No® Contract Type: (Check
one)New® Renewal ❑ Amendment ❑ Effective Date August 12,2013 Approved by Board Yes❑No® Agenda Date:
Title of Contract: Ecology Camp
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑Non 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
(Applicable only to har a /software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to clinical content and information technology specifications:
IT Director's Signature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Require Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: nn//
Risk Manager's Signature: "�a^'� '� �� Date: 7 3
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[/ A budget amendment is necessary
❑
before approval Yes NoIf 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 Act-
Financial Financial Services Director's Signature: liter", A Date: - 311.?
County Attorney
Approval by Board ❑ (Contracts $901000.00 r more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Ye !N
This contract has been reviewed and is for signatur y the C it Yes❑No .
Manager's Signature: Date:
Jerk to the Board
Approved by BOCC on the_d f ,20 Submitted for Chair signature on the_day of _,20
Clerk's Signature: f Date:
�\
J
Revised November 2011