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)i Ierk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. [ 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: Estes Hills Elementary School PTA Party/Vendor Contact Person: Meredith Lassiter Contact Phone: 1>19.942- <br /> 4753 Party/Vendor Address: 500 Estes Drive City Chapel Hill State:NC Zip:27514 Department:EDC-Arts Commission Amount: <br /> $1,000 Purpose: Spring 2014 Arts Grants Agreements Budget Code(s):#37601020-683000 Vendor#56315 (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 17,2014(approval of FY15 budget) Title of Contract: <br /> Orange County Arts Commission Spring 2014 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 I n torrmation <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 I rx 16-1 141-1 <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as sh tct is aIr <br /> by the Risk Manager: <br /> JUN 2 <br /> Risk Manager's Signature: /,-Q a��� Date: ,�-7 <br /> L917-7 mow.. <br /> By_ <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[�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: �I <br /> Financial Services Director's Signature: 1AUqA,4" /� �'""`' Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000. <br /> L09 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 on I\ ❑ (Under <br /> $1,000). This contra bee r viewe approved by the Attorney as to legal form and sufficie y: <br /> Attorney's Signature Date: —( <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and is fo•signature by the Chair Yes❑No❑. <br /> Manager's Signature: Date: C <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 />