HomeMy WebLinkAboutR 2013-233 DEAPR - Fun2Ref for Referee Services $39,758 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: Fun2Ref LLC(Arlene Lynn Dunbar) Party/Vendor Contact Person: Arlene Lynn Dunbar ontact Phone: 91 -
477-3533 Party/Vendor_Address: 1105 Infinity Road City Durham State:NC Zip:27712-9795 Department- EAPR-Recre
Amount: ' 58.0 rpose: Referee Services Budget Code(s): 10511020 630000 Vendor#59066 (N/ if ne Vendor is
a BOC nt? Yes ❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Ef e ve Date Jul 1,2013
Approved by Board Yes[]No❑ Agenda Date: Title of Contract: Referee Services
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❑No® Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: :to Date: 2 13
IT Director
(Applicable only to hardware/software 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:
ask Management
Include the following coverages: CGL; [?Auto; WC; Professional; ❑ Property; OR No Insurance Re uq ired ❑. Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature:_ �C y Date: !/�J
0 3
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes❑No[�If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local GovernmentBudget nd Fiscal Control A /.�
Financial Services Director's Signature: /Date: ' J' 113
County Attorney
Approval by Board ❑ (Contracts $90,000.00 ppinore for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has b enJ eviewe 7z-1 Attorney as to legal form and sufficiency:
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Attorney's Signature /Y� Date:
S u p�
County Manager
This contract has been reviewed and is approved by the Count Manager Ye N ❑.
This contract has been reviewed and is for- ' r b t) C� es❑N
�
Manager's Signature: Date:� 3;
Jerk 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