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)('lerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. I ft he Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. ('ontracts 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: Music Maker Relief Foundation Party/Vendor Contact Person: Corinne Everett Belch Contact Phone: 919/643- <br /> 1456 Party/Vendor Address: P.O.Box 1358 City Hillsborough State:NC Zip:27278 Department:EDC-Arts Commission Arnount: <br /> $1,500 Purpose: Spring 2014 Arts Grants Agreements Budget Code(s):#37601020-683000 Vendor#57180 (N/A if new �endor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective I)ate 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 Apxeement <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 Iirector as to <br /> technical content: <br /> Department Director's Signature: Date: — -- L/ <br /> IT Direct <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Intonnlation <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. [3-- Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as show pct is a r <br /> by the Risk Manager: D <br /> Risk Manager's Signature: w � - Date: JUL 1 14 <br /> Financial Services B <br /> This Contract is conditione4/pon appropriation by the Board of Commissioners Yes❑NoN� A budg Y nr fs n <br /> before approval Yes❑NoLVJ. 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 <br /> �and Fiscal Control A t: <br /> Financial Services Director's Signature: c✓ Date: 071A I/ <br /> '117 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0 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 iew d approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 1 1 `4– <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 fir signature, the Chair Yes❑No❑. <br /> Manager's Signature: �' ' Date: 51 <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 />