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: UNC Center for the Study of the American South Party/Vendor Contact Person: Patrick Horn Contact Phone: <br /> 919/962-0553 Party/Vendor Address: CB#9127,410 E.Franklin Street City Chapel Hill State:NC Zip:27599 Department:EDC- <br /> Arts Commission Amount:$1,500 Purpose:Fall 2013 Art Grant Agreement Budget Code(s):37601020 683001 Vendor#49982#5 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment <br /> ❑ Effective Date date of last signature Approved by Board Yes®No❑ Agenda Date:June 18,2013(aproval of FYI budget) <br /> Title of Contract: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❑Non 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: (/ y <br /> IT Directo <br /> (Applicable only to hardware/software purchases or related services)This c tract 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 Mana¢ement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ET. 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: Q Sl O.M, Date: ISO <br /> cl��a <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[d 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 Bu/dgget and Fiscal Control Act: <br /> to <br /> Financial Services Director's Signature: A!, Date: 1 <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). Approva by Manager (Most other contracts$1,000 and above). Department Director approval only El(Under <br /> $1,000). This contract has be n e,vievgpd a d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and ' a o by the County n er YesE o❑. <br /> This contract has been reviewed is o gn ur b e ❑No❑. <br /> v <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 />