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.�1a- 330 <br /> ORANGE COUNTY—CONTRACT CONTROL SKEET <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: Door to Door of UNC Health Care Party/Vendor Contact Person: Joy Javits Contact Phone: 919/929-5355 <br /> Party/Vendor Address: CB#7600 Volunteer Services City Chapel Hill State:NC Zip:27599-7600 Department:EDC-Arts <br /> Commission Amount: 1 500 Purpose: Sig 2012 Grassroots Arts Awards Budget Code(s): 37601020 683000 Vendor#51843 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ <br /> Effective Date 7/19/12 Approved by Board Yes❑No® Agenda Date:9/18/12 Title of Contract:Orange County Arts Commission <br /> Spring,2012 Grant Agreement <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: <br /> a4 4Lel Date:_s ' - <br /> IT Director <br /> (Applicable only to hardwarelsoftware 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; El WC; ❑ Professional; ❑ Property; OR No Insurance Required �L 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: <br /> Risk Manager's Signature: 6 "L_ � � Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No& 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 <br /> ± Fiscal Control Act: <br /> A't <br /> Financial Services Director's Signature: 4� ,!"•A A'`--- Date: k1 210/ <br /> County Attorney <br /> Approval by Board Contracts $90,00 00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approva y Manager{Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has be vie we d proved by the Attorney as to legal form and sufficienc : <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes�o❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑NoD. "- <br /> Manager's Signature: Date: <br /> Cle k to the Board <br /> Approved by BOCC on the_day of ,20 . Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />