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: Hillsborough Arts Council PartyNendor Contact Person: Dennis Hermanson Contact Phone:919/643-2500 <br /> Party/Vendor Address: 102 North Churton Street City Hillsborough State:NC Zip:27278 Department:EDC-Arts Commission <br /> Amount: $1,500 Purpose: Spring 2013 Art Grant Agreement Budget Code(s): 37601020 683000 Vendor# 19946 (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 FY14 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: 2Z <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 /> isk Management <br /> Include the following coverages: CGL; ❑ Auto; C; essional; ❑ Property; o Ins�contract Hold <br /> Contract pending rec eipt of Certificate of Insurance ith incorporation of Insurance provisions oved <br /> by the Risk Manager: <br /> Risk Manager's Signature: /� 0_ Date: a_- 3 <br /> 8124 <br /> Financial Services <br /> This Contract is conditioned�`ipon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑No 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 and Fiscal Control Act: ,_` <br /> Financial Services Director's Signature: '-Cs. ✓� /e�""— Date: l rb <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 VN(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been iew 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 Ye ❑No <br /> Manager's Signature: Date: <br /> Cler to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />