HomeMy WebLinkAboutR 2014-360 DEAPR - Fun2Ref., LLC for referee services ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (1) Department, (2)IT, (3) Risk Management, (4)Financial Services, (5)Attorney, (6)Manager, (7) ( led,
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. 11`1 c Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. : nu acts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal rt , c\� should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Fun2Ref, LLC Party/Vendor Contact Person: Arlene Lynn Dunbar Contact Phone: 919-477-3533 P:ri.\ \cndor
Address: 1105 Infiniti City Durham State:NC Zip: 27712 Department: DEAPR-Recreation Amount: $33,977 Purp�c (referee
Services Budget Code(s): 10511020 630000 Vendor#59066 (N/A if new vendor) Vendor is a BOCC consultant ' ) c, ❑No
® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 7/1/2014 Approved by Board Yes[__ tip,®
Agenda Date: Title of Contract: Referee Services
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted (n hid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department I i cetor as to
technical content:
Department Director's Signature: Date: I 125 114-
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the I n IM illation
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 Insu . ,-f+ -J._
Is
Contract pending receipt of Certificate of Insurance E], With incorporation of Insurance provisions as show ,�t r c ril is ali�r
by the Risk Manager:
JUL 14
Risk Manager's Signature: (�_ — _ Date:
1-r B
Financial Services y —
This Contract is conditioned 9pon appropriation by the Board of Commissioners Yes❑No[ A budget amendment i, necessary
before approval Yes❑ Norg. If budget amendment is necessary, please attach to this form. This instrument has been pre-u iditcd in the
manner required by the Local Government Budget and Fiscal Con of Ac � u
Financial Services Director's Signature: Date:
7tto
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, (,I ail\ BOCC
consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval on (Under
$1,000). This contract has been r viewed a roved by the Attorney as to legal form and sufficiency:
Attorney's Signature "A Date:
County Manager
This contract lias been reviewed and is approved by the County Manager Yes' No❑.
This contract has been reviewed and is to ignature by the Chair Yes❑No❑.
Manager's Signature: /' Date:
Clerk Tjothe Board
Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of - 0
Clerk's Signature: Date:
Revised March 2012