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: The ArtsCenter Party/Vendor Contact Person: Art Menius Contact Phone: Party/Vendor Address: 300-G <br /> E.Main St. City Carrboro State:NC Zip: 27510 Department: Finance and Administrative Services Amount: $6,000 Purpose: Outside <br /> AAgencX Budget Code(s): 10519550-710012 Vendor# 800036 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date July 1,2013 Approved by Board Yes® No❑ <br /> Agenda Date: June 18,2013 Title of Contract:2013-14 Outside Agency Performance 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 /> 7� <br /> Department Director's Signature: � �- ' .4v"`— 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: Ln CGL; E2/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: ' "'', / Date: <br /> Financial Services <br /> This Contract is conditione01f on appropriation by the Board of Commissioners Yes❑Nov A budget amendment is necessary <br /> before approval Yes❑No budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Bud et&4­C­,0 and Fiscal Control Act: <br /> Financial Services Director's Signature: /J A%"__ Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval b Manager (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been e 'ewe 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 No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No <br /> Manager's Signature: Date / <br /> NClerk 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 />