Orange County NC Website
a;zDN -�v <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: Preservation Chapel Hill Party/Vendor Contact Person: Cheri Szcodronski Contact Phone:919/942-7818 <br /> Party/Vendor Address:610 E.Rosemary Street City Chapel Hill State:NC Zip:27514 Department:EDC-Arts Commission Amount: <br /> $1,500 Purpose:Fall 2013 Art Grant Aueement Budget Code(s):37601020 683001 Vendor#62284 (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 FYI budget) Title of Contract:Oranee <br /> 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: — y <br /> IT Director <br /> (Applicable only to hardwarelsoftware 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 0' 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: e Date: 3 <br /> !11.!183 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nod A budget amendment is necessary <br /> before approval Yes❑No[ZIf 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 /> /t <br /> Al <br /> Financial Services Director's Signature: ((W"G J� j4t,— Date: J I 5I <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). Approval Manager(Most other contracts$1,000 and above). Department Director approval only❑(Under <br /> $1,000). This contract has bee r v'ew d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 4 <br /> County Manager <br /> This contract has been reviewed and is appro d b e County Manager Yes o❑. <br /> This contract has been reviewed ' fors* a y ClAair Yes o <br /> Ci <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 />