HomeMy WebLinkAboutR 2011-036 Aging - Pamela Reading instructor 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 Naive: Pamela Reading Party/Vendor Contact Person: same Contact Phone: Party/Vendor Address: 105
Charlesberry Lane City Chapel Hill State:NC Zip: 27517 Department:Aging-CBS Amount: $1,21D.0.00 Purpose: Japanese
Embroidery Class at the Seymour Center Budget Code(s): 10430120-629000 Vendor#60403 �_N/A if new vendor)
BOCC consultant? Yes ❑No® Contract one)one)New® Renewal❑ Amendment ❑ Effective D e 02/12/11
Approved by Board Yes❑No® ,gAC enda Date. ` Title of Contract: Instructor Agreement
If this is a Grant Agreement,pre-application s een 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: Date:
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; ["r OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance F. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: 52 • It
iQCe'cd 2(3120 1 t
Financial Services
This Contract is conditio n upon appropriation by the Board of Commissioners Yes❑No14 A budget amendment is necessary
before approval Yes❑ Nob]. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act:
' dO44vtA- )• A%4J Date:
Financial Services Director's Signature:
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager ;� (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 YeS❑No[:].
This contract has been reviewed and is to 14p.aubmitted for BOCC consideration Yes❑No❑
AI o"
Manager's Signature: Date:
to the Board
s
Jerk
Approved by BOCC on the day of 20 Submitted for Chair signature on the day of ,20
Clerk's Signature: , Date: J _ /
Revised April 2010