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: Lisa"Tinka"Jordv Party/Vendor Contact Person: Lisa"Tinka"Jordv Contact Phone:919/757-2181 Party/Vendor <br /> Address: 1902 Borland Road City Hillsborough State:NC Zip:27278 Department:EDC-Arts Commission Amount: $1.000 Purpose: <br /> Fall 2013 Art Grant Agreement Budget Code(s):37601020 683001 Vendor#59537 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date date of last signature <br /> Approved by Board Yes®No❑ Agenda Date:June 18 2013 (approval of FYI budget) Title of Contract:Orange County Arts <br /> 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 /> Department Director's Signature: Date: 7r Z <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This co act 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: /� n <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is cond4loned upon appropriation by the Board of Commissioners YesRfNo❑. A budget amendment is necessary <br /> before approval YesM Non. 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: �t *-w �• /�'„'' Date: b �' <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000. 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager[,(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has ben vie d and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 1 <br /> County Manager <br /> This contract has been reviewed and is r ed the County ana er Yes�No❑. <br /> This contract has been reviewed an ' or e b ❑No❑. <br /> Manager's Signature: of Date: <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 Submitted for Chair signature on the_day of 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />