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ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Glenwood Elementary School PTA PariyNendor Contact Person: Kate Underhill Contact Phone:919/968-3473 <br /> Party/Vendor Address:2 Prestwick Road City Chapel Hill State:NC Zip:27517 Department:EDC-Arts Commission Amount: <br /> $1,000 Purpose: Spring 2012 Grassroots Arts Awards Budget Code(s): 37601020 683000 Vendor#55898 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑NoZ Contract Type:(Check one)New Z Renewal❑ Amendment ❑ Effective Date <br /> 7/19/12 Approved by Board Yes❑NoZ Agenda Date:9/18/12 Title of Contract:Orange County Arts Commission Spring,2012 <br /> Grant Agreement <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners YesZ No❑ If submitted for bid were <br /> bids/RFPs received Yes❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Rkr:j <br /> 4j�4_ Date: 7 -2-7 <br /> I T r <br /> Dire <br /> (Applicable only to hardwarelsoftware purchases or related services)Thi contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: E] CGL; F-1 Auto; ❑ WC; ❑ Professional; E] Property; OR No Insurance Required N( Hold <br /> Contract pending receipt of Certificate of Insurance n. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: AAA, Date: 19112. <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑NoBa/ A budget amendment is necessary <br /> before approval Yes❑No If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: 6(xt,(" Date: 7/ 2-- <br /> County Attornev <br /> Approval by Board ❑ (Contracts $90,000.00 jor more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manage <br /> This contract has been reviewed and is approved by the County Manager Ye_sE:*on. <br /> This contract has been reviewed and is for signature by the Chair Yes❑NoEj,-- <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of 120 Submitted for Chair signature on the day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />