HomeMy WebLinkAboutR 2013-498 Aging - Ruth W Merrick for Instructor $4,500 ' 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: Ruth W Merrick Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:215 S
Hillsborough Ave City Hillsborough State:NC Zip:27278 Department:Aging Amount:$4,500.00 Purpose: instructor Budget
Code(s): 10430120-629000 Vendor#58822 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:
(Check one)New❑ Renewal® Amendment ❑ Effective Date 12/01/13 Approved by Board Yes❑No[] Agenda Date:
Title of Contract: Senior Center 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:
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 ❑. Hold
Contract pending receipt of Certificate of I urance ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager: ,-�.p ,�� %t 16.r11t k__
Risk Manager's Signature: Date: Z i
Financial Services
This Contract is condit' ned upon 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 Bud et and Fiscal Con of Act*
Financial Services Director's Sign t.. Date: 14 1
II 1.3
tz15
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 Manager (Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has bee r iew id approved by the Attorney as to legal form and sufficien y:
Attorney's Signature Date:
County Manaser
This contract has been reviewed and is a ov by the Coun Ma ger Yes 4o❑.
This contract has been reviewe is s' n ure the air s❑No❑.
G
Manager's Signature: Date:
Clerk 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