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: Elaine O Neil Designs Party/Vendor Contact Person: Elaine ONeil Contact Phone: 919- Party/Vendor Address: <br /> 4121 Oak Hill Rd City Chapel Hill State:NC Zip:27514 Department: Visitors Bureau Amount:Zero(0)dollars Purpose: for <br /> permission purposes and the right to use vendor owned graphics copy and illustrations for a visitor brochure and mobile app based on the <br /> book Goodnight Carolina Budget Code(s):N/A Vendor#54972 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 8/16/13 Approved by Board Yes❑No[] <br /> Agenda Date: Title of Contract: <br /> If this is a Grant Agreement,pre-applicatio as een a p ved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes[]No❑ Bid/RF nu m er his ontr ct has been reviewed and approved by the Department Director as to <br /> technical content: / <br /> Department Director's Signat e: Date: /f j 2 a—ls <br /> IT Director <br /> (Applicable only to hardware/software purcha es or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content a d it 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 ❑. Hold <br /> Contract pending receipt of Certificate of InsuranceEl. Vth incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: cS -•+ac e_ �/ <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned ufion appropriation by the Board of Commissioners Yes❑No[E/ A budget amendment is necessary <br /> before approval Yes❑ NoU. 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 /> UL <br /> Financial Services Director's Signature: a-,_c.✓ � � �"`� Date: 10 J lI <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 E] (Most other contracts$1,000 and above). Department Director approval only (Under <br /> $1,000). This contract has been r ewe pppoved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: i 3 <br /> County Manager <br /> This contract has been reviewed and is ap rov y the County Manager Yes[]' o❑. <br /> This contract has been reviewed an s f si na e th it s❑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 />