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: Laura Casey Party/Vendor Contact Person: Laura Casey Contact Phone: 919 Ze �rty/ endor Address: <br /> 2451 Sedgefield Drive City Chapel Hill State:NC Zip: 27514 Department: DEAPR-Recreation A $3890.0 urpose: Creative <br /> Arts class and camp instruction Budget Code(s): 10511020 630000 Vendor#59863 (N/A if new v r is a BOCC <br /> con sultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effe te 8 1/13 Approved by <br /> Board Yes❑No® Agenda Date: Title of Contract: Creative Arts <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: <br /> IT Director <br /> (Ap licable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Tec ology irector as to technical content and information technology specifications: <br /> IT D' a or's Signature: Date: <br /> Risk Mana ement <br /> Include the following coverages: 9CGL; [Auto; WC; ffProfessional; ❑ 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 /> Risk Manager's Signature: l✓v CL's"�"� A Date: OI e1 / �J <br /> Financial Services <br /> This Contract is conditioned j4pon appropriation by the Board of Commissioners Yes❑Noo2/ A budget amendment is necessary <br /> before approval Yes❑NoIf 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 Cont of Act: <br /> Financial Services Director's Signature: "L A ,C__ Date: mil 113 _ <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Managerost other contracts $1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been r viewed Sod-approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: &. 3-P5 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yeslo❑. <br /> This contract has been reviewed an for si atur t e Chair Yes❑No <br /> i <br /> Manager's Signature: / Date: Lp,' ' <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 />