R 2013-035 EDC-Arts St Joseph's Historic Foundation $1,500

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ORANGE COUNTY-CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: St.Joseph's Historic-Foinidation(fiscal agent for Sacri oets-) Party/Vendor Contact Person: KaneSme-go Contact Phone: 919/683-170 -1-M --A A QQ -6 -M� S&ea-Q Aniount-11 Id I evi�fk � ty Durham State:NC Zip:277 Department: EDC-Arts Commission ose.Fall 204'2 Art Grant A2reement)13 T'o 3e(s)-j�7%010i�0-68305 I Vendor#61722 (N/A if new vendor) Vendor i .�A�onsultant? Yes" ��Pe:(Check one)New 0 Renewal❑ Amendment ❑ Effective Date date of last signature Approved by Board YesM No❑ Agenda Date:June 19,2012(approval of FYI 3 budget) Title of Contract:Orange County Arts Commission Fall,2012 Grant Agreement If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; F-1 WC; F-1 Professional; ❑ Property; OR No Insurance Required E( Hold Contract pending receipt of Certificate of Insurance With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: Risk Manager's Signature: Date: L1 to I M Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Noff' A budget amendment is necessary before approval Yes❑Noa.` if budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: Date: County Attorney Approval by Board ❑ (Contracts $90,000-00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager Q((Most other contracts$1,000 and above). Department Director approval only❑(Under $1,000). This contract has been r ewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature Date: t Id L3 County Manager This contract has been reviewed and is approved by the Comity Manager Yesjn No❑. This contract has been reviewed and is for sig a by t a YesEIN o?- Manager's Signature: Date: Clerk to the Board Approved by BOCC on the day of 20 . Submitted for Chair signature on the day of 20_. Clerk's Signature: Date: Revised March 2012