HomeMy WebLinkAboutR 2014-295 DEAPR - Brian Braxton for golf instruction 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: Brian Braxton Party/Vendor Contact Person: Brian Braxton Contact Phone: 919-732-3435 Party/Vendor Address:
PO Box 759 City Hillsborough State: NC Zip:27278 Department: DEAPR Amount: $1600.00 Purpose: Golf Instruction Budget
Code(s): 10511020 630000 Vendor# 59719 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type:
(Check one)New ® Renewal ❑ Amendment ❑ Effective Date July 1,2014 Approved by Board Yes[]No® Agenda Date:
Title of Contract: Golf Instruction 1
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:
vl;cp Date: 1
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 shown, this contract is approved
by the Risk Manager: lJ
Risk Manager's Signature: Date:
L!I7 JUN 16 2014
Financial Services
This Contract is conditioned n appropriation by the Board of Commissioners Yes❑NoQ-/ A bud mendment is necessay
before approval Yes❑ NoIf budget amendment is necessary, please attach to this form. This instrumen
manner required by the Local Government Budget and Fiscal Control Act:
A,-4 Financial Services Director's Signature: c� Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 pr 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 been re ewed and a ved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved Ay the County Manager Yesu o�
This contract has been reviewed a d is for n tur by th C air es❑ o❑.
G /ZManager's Signature: Date: `7'
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