Orange County NC Website
.:�C)141 -:3(.P3 <br /> 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. II'tlie 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 rep iew should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: McDougle Elementary School PTA Party/Vendor Contact Person: Rachael Cruickshank Contact Phonc: l)19/969- <br /> 2435 Party/Vendor Address: 890 Old Fayetteville Road City Chapel Hill State:NC Zip:27516 Department:EDC-Arts_�L oniniission <br /> Amount: $1,000 Purpose: Spring 2014 Arts Grants Agreements Budget Code(s):#37601020-683000 Vendor#22226#6 (N A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment [] 1 tfective <br /> Date date of last signature Approved by Board Yes®No❑ Agenda Date:June 17,2014(approval of FYI budget) l'itle of <br /> Contract: 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 Iirector as to <br /> technical content: <br /> Department Director's Signature: <br /> tiee- Date: 7 <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the I n tunnation <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 ❑. Hold <br /> Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as sho . rt-n <br /> by the Risk Manager: D <br /> Risk Manager's Signature: /14-­ 040 -- Date: JUL 4 <br /> '1110 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A bud B a�;a 4s­accemogi <br /> before approval Yes❑NoE. 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 apd Fiscal Contro ct: j ' — <br /> Financial Services Director's Sig nature: ( �`�''t"� 1 '�`"� Date: ` <br /> 7/1 J t �f <br /> r1ho <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 am BOCC <br /> consultant contract). Approval by ager (Most other contracts$1,000 and above). Department Director approval on l} [] (Under <br /> $1,000). This contract has been rev' ed p roved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager YesNo❑. <br /> This contract has been reviewed and for sign ature IN the Chair Yes❑No❑. <br /> Manager's Signature: Date: <br /> /S <br /> r <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 />