HomeMy WebLinkAboutR 2013-248 DEAPR - Elana Marainina for Piano Instruction $4,625 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: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: Party Vendor Address:
3213 Annandale Road City Durham State:NC Zip: 27705 Department: DEAPR-Recreation Amount• 4625 urpose: Piano
Instruction Budget Code(s): 10511020 630000 Vendor#61078 (N/A if new vendor) Vendor• a onsultant? Yes ❑No
® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date July 8,2013 Approved by Board Yes❑No®
Agenda Date: Title of Contract: Piano Instruction
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: 0
IT Director
(Applicable o to kat are/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Dire technical content and information technology specifications:
IT Director's Sig Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: t'J
Risk Manager's Signature: + Date: / 7
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes[:]No�f 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 ct:
Financial Services Director's Signature:
6&� Date: �1//,?
County Attorney
Approval by Board ❑ (Contracts $90,000.0 more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager�a (Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been eviewed oved by the Attorney as to legal form and sufficiency: �
Attorney's Signature Date: �� 31--1^l
County Manager
This contract has been reviewed and is approved by the County Manager Y 0
This contract has been reviewed and is f nature b the h ' Yes❑N
Manager's Signature: Date:
Clerk to the Board
Approved by O C on the_day of 20 . Submitted for Chair signature on the_day of 20
Clerk's Signatur Date:
Revised March 2012