HomeMy WebLinkAboutR 2013-293 Aging - Michael Savino for Therapeutic Massage Instructor $3,000 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: Michael Saving Party/Vendor Contact Person: same Co ac Pt h Party/Vendor Address: 505 Long Leaf
Drive City Cha ep 1 Hill State:NC Zip: 27514 Department: Aging Arno un. 300 ose: Instructor Budget Code(s):29430320- .
630000 Vendor#44715 (N/A if uew vendor) Vendor is a BOCC cons es❑No® Contract Type: (Check one)New❑
Renewal 0 Amendment ❑ Effective Date July 30,2013 Approved by Board Yes[]No❑ Agenda Date: Title of
Contract: Wellness Instructor
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: Date: -1-.251_3
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:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required Z Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: 1�� ✓�" J �✓ Date:e•
�a. 7!zc,
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 Government Budget Fid Fiscal Control Ac
Financial Services Director's Signature: ��^^"�/ �/ Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.09 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager1-�(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has r • ed and approved by the Attorney as to legal form and suffic ency �s+
Attorney's Signature Date: 1
County Manager
This contract has been reviewed and is approved by the County Manager YeaD,&F
This contract has been reviewed and is for signature by the Ch Eat' Yes❑No
Manager's Signature: Date:
4Nkrk 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