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: Laura Casey Party/Vendor Contact Person: Laura Casey Contact Phone: (919)357-0480 Party/Vendor Address: <br /> 2451 Sedeefield Drive City Chapel Hill State:NC Zip: 27514 Department: DEAPR Amount: $2500.00 Purpose: Creative Arts <br /> Instruction Budget Code(s): 10511020 630000 Vendor#59863 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 07/01/14 Approved by Board Yes❑No® <br /> Agenda Date: Title of Contract: <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 /> r <br /> Department Director's Signature: Date: 5 r; 11 <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 E]. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as d <br /> by the Risk Manager: rPJ Risk Manager's Signature: Date:6 / 7- 32014 <br /> Financial Services . <br /> This Contract is conditioned tXon appropriation by the Board of Commissioners Yes❑No[ / A B ry <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 Bud et and Fiscal Control Act: <br /> Financial Services Director's Signature: a, - )k Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 o 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 been reviewed and by the Attorney as to legal form and sufficiency: <br /> rte/ <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is a rove y the County Manager Yes No❑. <br /> This contract has been reviewed is f si a re by th Chair Y No2. <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 120 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />