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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: Michael Roy Layne dba Legxacyworkss Party/Vendor Contact Person: Michael Roy Layne Contact Phone: <br /> 919/616-8417 Party/Vendor Address: 3803 Carnegie Lane City Raleigh State:NC Zip:27612 Department:EDC-Arts Commission <br /> Amount:$1,000 Purpose:Fall 2012 Art Grant Agreement Budget Code(s): 37601020-683001 Vendor#61719 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes F-1 NoN Contract Type:(Check one)New Z Renewal❑ Amendment ❑ Effective Date date <br /> of last signature Approved by Board YesZ No❑ Agenda Date:June 19,2012(approval of FYI 3 budget) Title of Contract: <br /> 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❑Non. 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: ILI Date: <br /> IT Director <br /> (Applicable only to hardware/software 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 EU/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: r <br /> A] il 14 <br /> Risk Manager's Signature: Date: <br /> 3 a= . 1110E M013 <br /> Financial Services <br /> This Contract is conditioned n appropriation by the Board of Commissioners YesFINo[R/ A budget amendment is necessary <br /> before approval Yel�No If' . 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: 4_';--' Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> ff <br /> consultant contract). Approval by Manager A(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has b4revie ed and approved by the Attorney as to legal form and s uZ ency* <br /> Attorney's Signature Date- <br /> I Vk <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YAeEl NoO. <br /> This contract has been reviewed and i for s' re/by the Chair Yesn&pr, <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the A day of 20 Submitted for Chair signature on the day of 120 . <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />