Orange County NC Website
ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (1)Deparhnent,(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 /> PartyNendor Name: Laura Casey PartyNendor Contact Person: Laura Casey Contact Phone:919-357-0480 Party/Vendor Address: <br /> 5141 Revere Road#44 City Durham State:NC Zip:27713 Department:DEAPR Amount:$1966.00 Purpose:Creative Arts <br /> Instruction Budget Code(s): 10510020-630000 Vendor#59863 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date August 1,2012 Approved by Board Yes❑No❑ <br /> Agenda Date: Title of Contract:Creative Arts Instruction <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes[]No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: / Date: 7 <br /> IT Director <br /> (Applicable only to hard►vare/sofnvare purchases or►related services)This 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: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required V. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of insurance provisions as shown, this contract is approved <br /> by the Risk Manager: Apr <br /> Risk Manager's Signature:Ao 44 J'j- Date: O <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Now 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: C�/ �� �7 Date: CZ <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: 61k1-2 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YeS2'1`lo❑. <br /> This contact has been reviewed and is to bmi d fo 7CC consideration Yes❑Ne[j- <br /> Manager's Signature: Date: <br /> -��-1 �- <br /> erlc to the Board <br /> Approved by BOCC on the day of 120 Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />