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: BUMP:The Triangle Party/Vendor Contact Person: Georgiga Bledsoe Contact Phone:919/667-0386 <br /> Party/Vendor Address: 504 W.Chapel Hill Street City Durham State:NC Zip:27701 Department:EDC-Arts Commission Amount: <br /> $1,500 Purpose:Fall 2013 Art Grant Agreement Budget Code(s):37601020 683001 Vendor# A" (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date date of last <br /> signature Approved by Board Yes®No❑ Agenda Date:June 18,2013(approval of FY 14 budget) Title of Contract:O_ range <br /> Court Arts Commission Fall 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 /> i <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 ❑. 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: � = '0 Date: <br /> Financial Services <br /> This Contract is condi ' ned upon 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 Bund t and Fiscal Control Act: <br /> Financial Services Director's Signature: `'l /� Date: Aby <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,0000 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval anag (Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has been vi we proved by the Attorney as to legal form and sufficienc <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is ap rov by the Court Manager Yes No❑. <br /> This contract has been reviewed is f si e t e 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 />