HomeMy WebLinkAboutR 2013-355 DEAPR - Caroline Johnston Dance Insteruction $3,516 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: Caroline Johnston Party/Vendor Contact Person: Caroline Johnston Contact Phone: (919)496-4919 Party/Vendor
Address: 9055 Highway 39 South City Henderson State:NC Zip:27537 Department: DEAPR Amount: $3516.00 Purpose: Dance
instruction Budget Code(s): 10511020 630000 Vendor#61758 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No®
Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 8/14/13 Approved by Board Yes❑No®
Agenda Date: Title of Contract: Dance 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: g Iq
IT Director
(App ' able only to rdware/software purchases or related services)This contract has been reviewed and approved by the Information
Technolo ector as to technical content and information technology specifications:
IT D' ctor's Signature. Date: q
Risk Mana ement
Include the following coverages: 9CGL; ❑ Auto; ❑ WC; Professionai;�❑ Property; OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance F. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: (fit..= Date:
8lzit 13
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nold 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: N Date: t 13
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 Manager M (Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has beenevievx*nd 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 Yes No[-].
This contract has been reviewed and is for si ure by Chair Yes❑No
Manager's Signature: Date:
Clerk to the Board
Approv y BOCC the_day of 20 . Submitted for Chair signature on the_day of 20
Clerk's Signa Date:
Revised March 2012