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: North Carolina S3mph9 X Party/Vendor Contact Person: Rob Maddrey Contact Phone: 919/733-2750 <br /> Party/Vendor Address: 3700 Glenwood Avenue,Suite 130 City R leigh State:NC Zip:27612 Department:EDC-Arts Commission <br /> Amount:$1,500 Purpose: Spring 2013 Art Grant Agreement Budget Code(s):37601020 683000 Vendor#57463 (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 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❑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 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 Manazement <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 /> Risk Manager's Signature: aa,-f_L__ J, Dater <br /> aim <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nov A budget amendment is necessary <br /> before approval Yes❑No[T�. 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, d Fiscal Control l ct: — j <br /> Financial Services Director's Signature: C'l G�`' I�/ �J��' Date: <br /> g I <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000 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 bee view an pppoved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: O <br /> County Manaeer <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is for at e by e Chair Yes❑No <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 />