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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: McDougle Middle School PTA Party/Vendor Contact Person: Michele Melet Contact Phone:919/933-1556 <br /> Party/Vendor Address:900 Old Fyetteville Road City Chapel Hill State:NC Zip:27516 Department:EDC-Arts Commission <br /> Amount:$1,000 Purpose:Fall 2012 Art Grant Agreement Budget Code(s):37601020-683001 Vendor#22226 03 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective <br /> Date date of last signature Approved by Board Yes®No❑ Agenda Date:June 19,2012(approval of FY 13 bu et l Title of <br /> 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❑Non. 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: Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contras 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 /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 /> ✓�r J� <br /> Risk Manager's Signature: C .6 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❑Noa.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: j <br /> Financial Services Director's Signature: t...- A. Date: 1 CIS 1'3 <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 by Manager 1AJ (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has be vie d pproved by the Attorney as to legal form and suffici cy: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No(--]. <br /> This contract has been reviewed and is fo i natur y the air Yes❑No <br /> P Manager's Signature: v{ Date: <br /> -�4 <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 />