2012-163 S Library & Natania Barron for Creative Writing Program$ 5k

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pia -- 1 �3- 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: Natania Barron > 1K Party/Vendor Contact Person: Nitya Fiorentino Contact Phone: 2452538 Party/Vendor Address: City State: Zip: Department: Library Amount: .>5K Purpose: Programming Budget Code(s): 105000020 -63000 Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: Title of Contract: Natania Barron 7/23/12 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 numbe T contract has been reviewed and approved by the Department Director as to technical content: Date: Department Director's Signatu re' L' IT Director (Applicable only to hardware /software purchases or rJkaVd 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 O-'-Hold Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: Date: Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes ❑No®. A budget amendment is necessary before approval Yes❑ No®. 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 d Fiscal Control A t: g Financial Services Director's Signature: (_4 �• Date: tom' �.. lP 1Z.lo 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). T is contr t has been reviewed and proved by the Attorney as to legal form and sufficiency: �ffVT• ��Q�CCTaR K /, («,nr 67R. ivOT �2�C c iR.CI� Attorney's Signature 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 BOCC consideration Yes Manager's Signature: r1/0 Date: Vjp_lle Clerk to the Board Approved by BOCC on the _ day of 20 . Submitted for Chair signature on the _ day of 20 Clerk's Signature: Revised April 2010 Date: