R 2013-522 Arts - Door to Door of UNC Health Care

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ORANGE COUNTY—CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: Door to Door of UNC Health Care Party/Vendor Contact Person: Joy Javits Contact Phone: 919/929-5355 Party/Vendor Address: CB#7600 Volunteer Services,UNCH City Chapel Hill State:NC Zip:27599-7600 Department:EDC-Arts Commission Amount:$1.500 Purpose:Fall 2013 Art Grant Agreement Budget Code(s): 37601020 683001 Vendor#54115 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date date of last sip-nature Approved by Board Yes®No❑ Agenda Date:June 18,2013 (approval of FY14 budget) Title of Contract:Orange County Arts Commission Fall 2013 Grant Agreement If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes[]No❑. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: Date: IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: Risk Manager's Signature: ��jc� ��- — Date: Financial Services This Contract is condi 'oned upon appropriation by the Board of Commissioners YesR�o❑. A budget amendment is necessary before approval YesMNo❑. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: UA4.4'.1 �• 4" Date: ` County Attorney Approval by Board ❑ (Contracts $90,000 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval b anager[(Most other contracts$1,000 and above). Department Director approval only❑(Under $1,000). This contract has been A ed d proved by the Attorney as to legal form and suffic' ncy: Attorney's Signature Date: I 1 County Manager This contract has been reviewed and is ap ve y the Co ager Yes No❑. This contract has been reviewed YVrls fo i e y a' es❑No❑. G Manager's Signature: Date: Clerk to the Board Approved by BOCC on the_day of ,20 Submitted for Chair signature on the_day of ,20 Clerk's Signature: Date: Revised March 2012