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ORANGE COUNV i—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,-,,,Ephesus Elementary Sc a3 PTA Party/Vendor Contact Person: Nicole Kushner Contact Phone: 919/929-8715 <br /> Party/Vendor Ad ess•14- urch oad City Chapel Hill State:NC Zip:27517 Department:EDC-Arts Commission <br /> Amount: $1,000 Purpose: Spring 2013 Art Grant Agreement Budget Code(s): 37601020 683000 Vendor#55065 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date date <br /> of last signature Approved by Board Yes®No[] Agenda Date:June 18,2013 (approval of FYI 4 budget) Title of Contract: <br /> Orange County Arts Commission Spring 2013 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: <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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required Z 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: I <br /> Risk Manager's Signature: ��-L`' �' All Date: �1 is <br /> �szc... 81►3 <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❑No[Z.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 Budg t and Fiscal Control AT A_,4� QFinancial Services Director's Signature: Date: O l <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00 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 be r vie d a approved by the Attorney as to legal form and suffici ncy: <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 for signature by the ChAir Yes❑No <br /> Manager's Signature: Date. <br /> -'�4p- /P <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />