HomeMy WebLinkAboutR 2014-332 DEAPR - Wayne Leonard for theater camp ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (1)Department, (2)IT,(3) Risk Management,(4)Financial Services, (5)Attorney, (6)Manager, (7) Jerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. It c `,tanager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. kmlr.icts for
BOCC approval must be submitted through, and complete,the routing process prior to agenda review. Contracts for legal e should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Wayne Leonard Party/Vendor Contact Person: Contact Phone: (919)383-7589 Party/Vendor �.i.lress:
2501 Pleasant Green Road City Durham State:NC Zip: 27705 Department: DEAPR Amount: $1500.00 Purpose: Theater annp
Budget Code(s): 630000 Vendor#56876 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract 1, he (Check
one)New® Renewal ❑ Amendment ❑ Effective Date July 1,2014 Approved by Board Yes❑No[] Agenda D<tc
Title of Contract: Theater Camp
If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑No®. If submitte] Ioi hid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department I) i ctor 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 I r.I,,r 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; F-1 Property; OR No Insurance Reauircd []. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as show thiq rnntrj".aa ,t, roved
by the Risk Manager: /�
Risk Manager's Signature: n �"� v Date: JUN 14
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[V�. A bud R,yamcn� :iit ,s ne. sce sary
before approval Yes❑NoM.If budget amendment is necessary, please attach to this form. This instrument has been pre :tjlted to e
manner required by the Local Government Budget and
Fiscal Control Act-
Financial Services Director's Signature: N Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, .)t arn,, BOCC
consultant contract). Approval by Manager Most other contracts $1,000 and above). Department Director approval ca l,, ] (Under
$1,000). This contract has been view d and a d by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
7, 7-1Y
County Manager
This contract has been reviewed and is approved by the County Manager YesK2'No❑.
This contract has been reviewed and is for signature by the Chair Yes❑No❑.
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