HomeMy WebLinkAboutR 2014-151 Aging - Dan Eubanks for acrylic painting class t � 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: Dan Eubanks Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:2300 Judah
Benjamin Ct City Hillsborough State:NC Zip:27278 Department:ning Amount: $1,500 Purpose:Acrylic Painting Class Budget
Code(s): 10430120-629000 Vendor#62349 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:
(Check one)New® Renewal❑ Amendment ❑ Effective Date 03/24/14 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: .'-?- ?D—
IT Director
(Applicable only to hardwarelsoftware 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 Insurance ❑. With incorporation of Insurance provisions as shown,
by the Risk Manager:
D � C�
Risk Manager's Signature: y� Date: i MAR 2 5 2014
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[v]r. A budge B
before approval Yes❑NoM. 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 l
Financial Services Director's Signature: Y�t/�i�-- ff Date: Jl Z�1 l y
_91M
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 AN Most other contracts$1,000 and above). Department Director approval only ❑(Under
$1,000). This contract has bee"e 'ewed d a ved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed an pp e the Co my anager Yes io❑.
This contract has been reviewed is fo g t e by e Ch es o❑.
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