HomeMy WebLinkAboutR 2014-331 DEAPR - Elena Marinina for piano/choral camp instruction ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (1) Department, (2)IT,(3) Risk Management,(4)Financial Services, (5)Attorney, (6)Manager, (7) Irrl<
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If I I 1 anager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. I wil,lets for
BOCC approval must be submitted through, and complete,the routing process prior to agenda review. Contracts for legal rc\i should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: (919)943-6451 Party \. �AiJ >r
Address: 3213 Annandale Road City Durham State:NC Zip:27705 Department: DEAPR Amount: $2000.00 Purpose: PI clo ,rid
Choral Camp Instruction Budget Code(s): 10511020 630000 Vendor#61078 (N/A if new vendor) Vendor is a BOCC :w»�i ltant?
Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2014 Approved by B,,s d Yes
❑No® Agenda Date: Title of Contract: Piano and Choral Camps
If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted fur I)id were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department 0ii c,:tor as to
technical content: �, D
Department Director's Signature: y''t Date: o Q'
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the In tin ination
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 Reauire�l 'L Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sh h this t
by the Risk Manager: D :3
Risk Manager's Signature: ta.16n Datel JUN 3.I
will JU
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[/ A b
before approval Yes NoIf budget amendment is necessary, please attach to this form. This instrument has been pre-ui.(i i—I in the
manner required by the Local Government Bud land_�Fiscal Control Act: n
Financial Services Director's Signature: Date:
�1l
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or rim BOCC
consultant contract). Approval by Manager[(Most other contracts$1,000 and above). Department Director approval o is, (Under
$1,000). This contract has been rev and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: �� /y
County Manager
This contract has been reviewed and is approved by the County Manager Yesp-liqo❑.
This contract has been reviewed and is.f, r signature by the Chair Yes❑No❑.
Manager's Signature: �1� % Date:
Clerk to th and
Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of '0
Clerk's Signature: Date:
Revised March 2012