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) Jerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. It c `,tanager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. kmlr.icts for <br /> BOCC approval must be submitted through, and complete,the routing process prior to agenda review. Contracts for legal e should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Wayne Leonard Party/Vendor Contact Person: Contact Phone: (919)383-7589 Party/Vendor �.i.lress: <br /> 2501 Pleasant Green Road City Durham State:NC Zip: 27705 Department: DEAPR Amount: $1500.00 Purpose: Theater annp <br /> Budget Code(s): 630000 Vendor#56876 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract 1, he (Check <br /> one)New® Renewal ❑ Amendment ❑ Effective Date July 1,2014 Approved by Board Yes❑No[] Agenda D<tc <br /> Title of Contract: Theater Camp <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑No®. If submitte] Ioi hid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department I) i ctor 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 r.I,,r ination <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; F-1 Property; OR No Insurance Reauircd []. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as show thiq rnntrj".aa ,t, roved <br /> by the Risk Manager: /� <br /> Risk Manager's Signature: n �"� v Date: JUN 14 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[V�. A bud R,yamcn� :iit ,s ne. sce sary <br /> before approval Yes❑NoM.If budget amendment is necessary, please attach to this form. This instrument has been pre :tjlted to e <br /> manner required by the Local Government Budget and <br /> Fiscal Control Act- <br /> Financial Services Director's Signature: N Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, .)t arn,, BOCC <br /> consultant contract). Approval by Manager Most other contracts $1,000 and above). Department Director approval ca l,, ] (Under <br /> $1,000). This contract has been view d and a d by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> 7, 7-1Y <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesK2'No❑. <br /> This contract has been reviewed and is for signature by the Chair Yes❑No❑. <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 />