HomeMy WebLinkAboutR 2014-169 DEAPR - Nina Maier for tai chi instruction X314 - lto
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: Nina Maier Party/Vendor Contact Person: Nina Maier Contact Phone: 919-732-2722 Party/Vendor Address:
3302 Pearson Road City Hurdle Mills State:NC Zip:27541 Department:DEAPR Amount: $561.00 Purpose: Tai Chi Instruction
Budget Code(s): Vendor#51178 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check
one)New® Renewal ❑ Amendment ❑ Effective Date 4/22/2014 Approved by Board Yes❑No❑ Agenda Date: Title
of Contract:
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: av<�qV Date: 42
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 Insurance ❑. With incorporation of Insurance provisions as show
by the Risk Manager:
Risk Manager's Signature: _ A�1 Date: MAR 2 $ 2014
31 ZS
Financial Services
This Contract is conditioned u on appropriation by the Board of Commissioners Yes❑NoE;K B A bud
before approval Yes❑ NoIf 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(W-44.,0 A � Date:
31�t
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 Jnder
$1,000). This contract haWbeen iewed and a proved by the Attorney as to legal form and sufficiency:Attorney's Signature Date:
Countv Manager
This contract has been reviewed and is a roe t e County Manager Yes o❑.
This contract has been reviewed an i or ' a r y ha' es❑ ❑.
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the y day of 20 . Submitted for Chair signature on the_day of 20
Clerk's Signature: Date:
Revised March 2012