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: Cedar Ridge High School Party/Vendor Contact Person: Kelli Monroe Porco Contact Phone:919/245-4000 <br /> Party/Vendor Address: 1125 New Grady Brown School Road City Hillsborough State:NC Zip:27278 Department: EDC-Arts <br /> Commission Amount:$500 Purpose:Fall 2012 Art Grant Agreement Budget Code(s): 37601020-683001 Vendor# 178 02) (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type:(Check one)New 0 Renewal❑ Amendment ❑ <br /> Effective Date date of last signature Approved by Board YesN Non Agenda Date:June 19,2012(Appioval of FYI 3 budget) Title <br /> of Contract: Oran <br /> g e 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❑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: 7— /-3 <br /> L <br /> IT Directl <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 Hold <br /> Contract pending receipt of Certificate of Insurance n. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Si nature: A,` Date: <br /> . <br /> # I <br /> 40g-- 1 10113 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners YesE]Noc�( A budget amendment is necessary <br /> . If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> before approval Yesr-1 Noli <br /> manner required by the Local Government Bud*et and Fiscal Control Act: <br /> Financial Services Director's Signature: 4'_ 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). Approval by Manager❑ (Most other contracts$1,000 and above). Department Director approval only r_1 (Under <br /> $1,000). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes Zj No❑ <br /> This contract has been reviewed and is ONoV]. <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 />