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. I f 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 rev ie�v should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Northside Elementary School Party/Vendor Contact Person: Ben Davis Contact Phone:919/918-2220 <br /> Party/Vendor Address:350 Caldwell Street City Chapel Hill State:NC Zip:27516 Department:EDC-Arts Commission Amount: <br /> 400 Purpose: Spring 2014 Arts Grants Agreements Budget Code(s):#37601020-683000 Vendor#62286 (N/A if new ven(for) <br /> Vendor is a BOCC consultant? Yes❑Nog Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effect i�c I_)ate date <br /> of last signature Approved by Board Yes®No❑ Agenda Date:June 17,2014(approval of FY 15 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 submitUed 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: V�,4 Date: l;�f <br /> IT ' ector <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the I n tortnation <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 In iro"' <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sho ,It6is Wninict is ap <br /> 1 <br /> by the Risk Manager: JUL 14 <br /> Risk Manager's Signature: LO C an. Date: 7 -7z-/x <br /> 'ft7 By <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoBi A budget amendment is necessary <br /> before approval Yes❑No�f 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 <br /> Act- <br /> F *1111 inancial Services Director's Signature: Date: J11 <br /> I ti <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,00 .0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval Mana er (Most other contracts$1,000 and above). Department Director approval ortly [:1 (Under <br /> $1,000). This contract has bee re iew proved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: 14- <br /> County Manager X <br /> F' <br /> This contract has been reviewed and is approved by the County Manager Yes No❑. <br /> This contract has been reviewed and i r signature by the Chair Yes❑No❑. <br /> Managers Signature: "1 �j Date: 7/1 5 1 <br /> Clerk t 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 />