Orange County NC Website
DocuSign Envelope ID: 41203F82- AB5B- 400D- 97FC- 42F788B3079E <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. 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: Cedar Ridge High School Party/Vendor Contact Person: Josh Cvijanovic Contact Phone: 919/245 -4000 <br />Party/Vendor Address: 1125 New Grady Brown School Road City Hillsborough State: NC Zip: 27278 Department: EDC - Arts <br />Commission Amount: $1,000 Purpose: Fall, 2014 Arts Grants Agreements Budget Code(s): #37601020- 683001 Vendor # 178 #2 (N /A <br />if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br />Effective Date date of last signature Approved by Board Yes® No❑ Agenda Date: June 17, 2014 (approval of FYI buds Title <br />of Contract: Orange County Arts Commission Fall 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❑ Non Bid /RFP number This contract has been reviewed and approved by the Department Director as to <br />technical content: DocuSigned by: <br />Department Director's Signature: Szc 94"44 Date 12 /17/2014 <br />�eaaEae7 D@44 ... <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: <br />Risk Management <br />Date: <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: DocuSigned by: <br />E&O, c6V1�t,t�0 <br />Risk Manager's Signature: 7FnrFa17AAnQAas Date: 12/18/2014 <br />Financial Services <br />This Contract is conditioned upon appropriation by the Board of Commissioners Yes ❑No❑. 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 B Wmid- Aftal Control Act: <br />Financial Services Director's Signature: C- ,)_ uVR Date: 12/18/2014 <br />F9e2E <br />Countv Attorne <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 Manager ❑ (Most other contracts $1,000 and above). Department Director approval only ❑ (Under <br />$1,000). This contract ha "mieai4d and approved by the Attorney as to legal form and sufficiency: <br />Attorney's Signature 1\ Date: 12/18/2014 <br />4 B 3g EB 83 04 6Fl4Fl9... <br />County Manager <br />This contract has been reviewed and is approved by the County Manager Yes[:] No❑. <br />This contract has been revi monjs fpr signature by the Chair Yes ❑No❑. <br />b6VukA'f. (AMmtysb 1? 12/18/2014 <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: <br />Revised March 2012 <br />Date: <br />