HomeMy WebLinkAboutR 2011-033 DEAPR - Equestrian Arts Institute - horseback riding lessons 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: Equestian Arts Institute Party/Vendor Contact Person: Toney Massionple Contact Phone: 919 563-3500
Party/Vendor Address:4505 Scottland Dr City Mebane State:NC Zip: 27302 Department: DEAPR Amount: $2880.00 Purpose:
Horseback Riding Lessons Budget Code(s):105100°`Ovendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No
❑ Contract Type: (Check one)New® Renewal Amendment ❑ Effective Date Feb 1,2011 Approved by Board Yes❑No❑
Agenda Date: Title of Contract: Horseback Riding Lessons
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: r Date: t
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:
Risk Manager's Signature: Date: 2,- 3•/l
0-1Lb.z,/a0) 1 f Irk
Financial Services
This Contract is condition d on appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes[0] No . If budget amendment is necessary,please attach to this form. T is instrument has been pre-audited in the
manner required by the Loca Government Bud et and Fiscal Control Act:
Financial Services Director's Signature: G'G� �, AA A Date: Z V1
County Attorney
Approval by Board ❑ (Contracts ov $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager 9 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date.
County Manager
This contract has been reviewed and is approved by the County Manager Ye No❑.
This contract has been reviewed and is to be submitted for 13Q consideration Yes❑Noj
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 April 2010