Orange County NC Website
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: One Song Productions Party/Vendor Contact Person: Taylor Norris Contact Phone:919/428-3867 Party/Vendor <br /> Address: 1253 Estes Drive#9213 City Chapel Hill State:NC Zip:27515 Department: EDC-Arts Commission Amount: $1,000 <br /> Purpose:Fall 2012 Art Grant Agreement Budget Code(s): 37601020-683001 Vendor#53510 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑Non Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date date of last <br /> signature Approved by Board Yes®No❑ Agenda Date:June 19,2012(approval of FYI 3 budget) Title of Contract:Orange <br /> CouM 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: Date: I — 2 —/ 3 <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 Manaaement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required W 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: VL "`t'`"' Cd Date: l I b o <br /> Financial Services <br /> This Contract is conditioned Pon appropriation by the Board of Commissioners Yes❑No(d A budget amendment is necessary <br /> before approval Yes❑NoM. 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#nd Fiscal Contro Act: 4, <br /> Financial Services Director's Signature: 0,GG''�w '�Y Date: 1 �� <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager((Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has b reviewed and approved by the Attorney as to legal form and suffic'ency: <br /> Attorney's Signature Date: <br /> County Manap-er <br /> This contract has been reviewed and is ap r ved by the County Manager Ye No❑. <br /> This contract has been reviewed and is f si Yes❑NoC .—°_ <br /> Manager's Signature: Date: <br /> 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 />