HomeMy WebLinkAboutR 2014-348 DEAPR - Hope Heverly for volleyball camp instruction ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (1) Department, (2) IT, (3) Risk Management, (4)Financial Services,(5)Attorney,(6)Manager, (7) Clcrk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If li %lanager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. t unn-acts for
BOCC approval must be submitted through, and complete,the routing process prior to agenda review. Contracts for legal rr�ie%� should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Hope Heverly Party/Vendor Contact Person: Contact Phone: (919)914-4686 Party/Vendor A.d•.Irc, 2403-
IA Hewitt St. City Greensboro State: NC Zip: 27407 Department: DEAPR Amount: $1500.00 Purpose: Volleyball Cam]) I,st_ruction
Budget Code(s): 630000 Vendor#61793 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract 1 (Check
one)New® Renewal ❑ Amendment ❑ Effective Date July 1,2014 Approved by Board Yes❑No❑ Agenda D..l
Title of Contract: Volleyball Camp
If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑No®. If submittedi foi rid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department I trrrctor as to
technical content:
Department Director's Signature: ulw Date: 71-4114- _
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the I nt.)rniation
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 ir_,1 [ Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as s tf�tl cw-tril�[ is al d
by the Risk Manager:
Risk Manager's Signature: 4 /' l9-��-- Date: 7 JUL u
_411�
Financial Services BY
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[ A budget amendmer i> iccessary
before approval Yes[:] Noy. If budget amendment is necessary,please attach to this form. This instrument has been pre-<t,id tcd in the
manner required by the Local Government Budget and Fiscal Control Act: ldty Financial Services Director's Signature: w�►- Date: J7
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, w ,w\ BOCC
consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval of k [ (Under
$1,000). This contract has bee�_, vie=—,.ved by the Attorney as to legal form and sufficiency:
i
Attorney's Signature Date: 7- 0—
County Manager
This contract has been reviewed and is approved by the County Manager Yes9-No❑.
This contract has been reviewed and is for signature b the Chair Yes❑No❑. ; J
f .� • `7 ��
Manager's Signature: Date: //i l e
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