Orange County NC Website
..Zo1-4-103 <br /> 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: McDougle Elementary�School PTA Party/Vendor Contact Person: Rachael Cruickshank Contact Phone: 919/969- <br /> 2435 Party/Vendor Address: 890 Old Fayetteville Road City Chapel Hill State:NC Zip:27516 Department:EDC-Arts Commission <br /> Amount: 800 Purpose:Fall 2013 Art Grant Agreement Budget Code(s):37601020 683001 Vendor#22226#6 (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 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: <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 Lj: 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: Date: J// <br /> 3 <br /> 11 L It3 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yes❑No[R.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" /' �/'�`�� Date: i 151 I'f <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 LA(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has b e revie d d approved by the Attorney as to legal form and suffici ncy: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is app oved the C ty Man er Yes No❑. <br /> This contract has been reviewed is fo ign a by e hai Y s❑ o❑. <br /> Manager's Signature: Date: f <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 />