HomeMy WebLinkAboutR 2013-225 DEAPR - Jenne M Seys for Yoga Instruction $1,500 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: Jeanne M. Seys Party/Vendor Contact Person: ontact P?6e.:91"9,951-9581 Party/Vendor Address: 925
May Rid� C*t Hurdle Mills State:NC Zip: 27541 Departme DEAP Amoun rpose:Yoga Instruction Budget
49/1
,�14 Vendor 'a C consu. No[5� Contract Type:(Check one)New
Code(s)- �, endor#56?,Y(N/A if new vendor) C,lxl;to el
Renewal L_j Amendment ❑ Effective Date July 1,2013 Approved by Board Yes❑Non Agenda Date: Title of
Contract:Yoga Instruction
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoZ. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: -p Date: 71 )111
IT Director
(Applicable I hard are/software purchases or related services)This contract has been reviewed and approved by the Information
y 10
log a
I
Technology only
� technical content and information technology specifications:
Lj
IT Director's Signatur Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required Ek.lHold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: N't", E^J Date:— kit
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners YesE]No[R/ A budget amendment is necessary
. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
before approval Yes[]Zvi�
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: act, 4,u, A A, Date: 7 .?l U
County Attorney
Approval by Board ❑ (Contracts 9x*r-$90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manage potj (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date:
County Manaiie
This contract has been reviewed and is approved by the County Manager YeNon.
This contract has been reviewed and is to beAubmitted for$O C consideration Yes❑Npff.'
Manager's Signature: Date:—7 -9 -i5
IA�l
Clerk to the Board
Approved by BOCC on the ay of ,20 Submitted for Chair signature on the_day of 20_.
Clerk's Signature: Date:
Revised April 2010