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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: Franklin Street Arts Collective dba FRANK Gallery Party/Vendor Contact Person: Barbara Tyroler Contact <br /> Phone:919/636-4135 Party/Vendor Address: 109 East Franklin Street City Chapel Hill State:NC Zip:27514 Department:EDC-Arts <br /> Commission Amount: $1,500 Purpose:Fall 2012 Art Grant Agreement Budget Code(s):37601020-683001 Vendor#52739 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ <br /> Effective Date date of last sip-nature Approved by Board Yes®No❑ Agenda Date: June 19 2012(approval of FYI budget) Title <br /> of Contract:Orange County Arts Commission Fall 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: I Date: 1z— //Z- <br /> IT <br /> Dir t r <br /> (Applicable only to hardware/software purchases or related services) is 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 Manaeement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required E� 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: �l ``� �� Date: 4 3 3 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No[3?( A budget amendment is necessary <br /> before approval Yes❑NoE?r 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: y(.a- - A AL, Date: 112113 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval K Manager[(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has bee r iew and approved 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 b he County Manager Y. No❑. <br /> This contract has been reviewed an s r t by a Chair Yes❑NoE2,' <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 />