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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. If 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: The ArtsCenter Party/Vendor Contact Person: Julie Tomkovick Contact Phone: 919-929-2787 Party/Vendor <br /> Address: 300-G E. Main St. City Carrboro State:NC Zip: 27510 Department: Finance&Admin. Services Amount: $7,000 Purpose: <br /> Performance Agreement Budget Code(s): 10519550-710012 Vendor#800036 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 7/1/2014 Approved by Board Yes <br /> ®No❑ Agenda Date: 6/17/2014 Title of Contract:2014-15 Outside Agency Performance 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: �G( —�✓ T" ` Date: <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <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 ❑. With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: 1 j, -- Date: <br /> 8l t,;� <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Nov. 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 <br /> �a++''nd Fiscal Control A.,Act: �/l / <br /> Financial Services Director's Signature: 601,4 .Gv � � Date: °! bl I41 <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by anager�] (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been re i d and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: p Z--1 [I <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes o❑. <br /> This contract has been reviewed an ' for 'gnat by the Chair Yes❑No❑. <br /> Manager's Signature: Date: I <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 20 miffed for Chair signature on t day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />