HomeMy WebLinkAboutR 2013-393 DEAPR-Hunter Seaggs for Guitar Instruction $672 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: Hunter Scaggs Party/Vendor Contact Person: Contact Phone: 919 937-7193 Party/Vendor Address: 1001
Fenwick Parkway City Durham State:NC Zip: 27713 Department: DEAPR Amount: $672 Purpose: Guitar Instruction Budget
Code(s): 630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)
New® Renewal❑ Amendment ❑ Effective Date July 15,2013 Approved by Board Yes❑No❑ Agenda Date: Title
of Contract: Guitar 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: 1513,6
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Techn ogy irector as to technical content and information technology specifications:
IT Direct r ignature: Date:
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required P Hold
Contract pending receipt of Certificate of Insurance fi. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: —1..r J-e�sa�S art w �-'�k�C k+ H- 6�c�_�s-� i 1 cv�J�" "� S w,
Risk Manager's Signature: Q.L.— Jt n C Date:
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 and Fiscal Control Act: Gtr
Financial Services Director's Signature: l/� G /, Date: !1
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager ❑ (All other contrg- p). 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 Yeso No❑.
This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑.
Manager's Signature: 1 PI- Date: 1 P`
Clerk to the Board
Approve CC on the—day of 20 . Submitted for Chair signature on the_day of 20
Clerk's Si at e: Date:
Revised April 2010