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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: Estes Hills Elementary School PTA PartyNendor Contact Person: Meredith Lassiter Contact Phone: 919/942- <br /> 4753 Party/Vendor Address: 500 Estes Drive City Chapel Hill State:NC Zip: 27514 Department:EDC-Arts Commission Amount: <br /> $1,000 Purpose:Fall 2012 Art Grant Agreement Budget Code(s): 37601020-683001 Vendor#56315 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes❑NoZ Contract Type: (Check one)New Z Renewal❑ Amendment ❑ Effective Date date of last <br /> signature Approved by Board Yes❑Non Agenda Date:June 19,2012{approval of FYI 3 budget) Title of Contract:Orange <br /> 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❑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: V�-� Date: <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; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required M/ 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: Date: 1(71(3 <br /> Financial Services <br /> This Contract is conditioned ypon appropriation by the Board of Commissioners YesF1No52( A budget amendment is necessary <br /> before approval YesEl NoC�. 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: LA. Date: <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). App o al by Manager((Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has e rev* 77 d by the Attorney as to legal form and sufficie cy: <br /> ed d approve <br /> Attorney's Signature Date: I <br /> V k. <br /> County Manaae <br /> This contract has been reviewed and is approved by the Younty Manager Yes NOD. <br /> This contract has been reviewed and Is b Fr <br /> i Wa <br /> afore e Chair YesF]No <br /> Manager's Signature: Date) ci- <br /> V Clerk 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 />