HomeMy WebLinkAboutR 2013-385 DEAPR - Darroll Andrew Brown for Tennis Lessons $630 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: Darroll Andrew Brown Party/Vendor Contact Person: Contact Phone: 919 740-2693 Party/Vendor
Address: 113 Tuscarora Dr City Hillsborough State:NC Zip:27278 Department: DEAPR Amount: $630 Purpose: Tennis Lessons
Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check
one)New® Renewal ❑ Amendment ❑ Effective Date September 24,2012 Approved by Board Yes❑No❑ Agenda Date:
Title of Contract: Tennis Lessons
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: '912-7)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:
, D``irector's Signature: Date:
,, o ilk Management 4@W
Include the following coverages:, j GL; ❑ 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:
Risk Manager's Signature: (24._ J�- Date:
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Nov 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:
Financial Services Director's Signature: Nw,.w Date: IJ
IZ-1L9
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Mana (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency
Attorney's Signature Date: 9—
County Manager
This contract has been reviewed and is approved by the County Manager Yes No❑.
This contract has been reviewed and is for signature by the Chai Yes❑No
Manager's Signature: Date:
Clerk to the Board
Approved b BO on the_day of 20 Submitted for Chair signature on the_day of 20
Clerk's Si atu Date:
Revised November 2011