Orange County NC Website
DocuSign Envelope ID: C9EE1A01- 1583 -408B- 9007- 6B72A1449ABC <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: McDougle Elementary School PTA Party/Vendor Contact Person: Rachael Cruickshank Contact Phone: 919/969- <br />2435 Party/Vendor Address: 890 Old Fayetteville Road City Chapel Hill State: NC Zip: 27516 Department: EDC - Arts Commission <br />Amount: 930 Purpose: Fall, 2014 Arts Grants Agreements Budget Code(s): #37601020- 683001 Vendor # 22226 #6 (N /A if new <br />vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective <br />Date date of last signature Approved by Board Yes® No❑ Agenda Date: June 17, 2014 (approval of FY 15 budget) Title of <br />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❑ No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br />technical content: uSigned by: <br />r5zle 94"44 Department Director's Signature: Date: 12/18/2014 <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 />Q�fSa r,6vvte tt0 12/18/2014 <br />Risk Manager's Signature: Date: <br />i= ee�s-r�esaaa ... <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 getvalndRscal Control Act: <br />i�V.R� 12/18/2014 <br />Financial Services Director's Signature: Date: <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 d@ yWwed and approved by the Attorney as to legal form and sufficiency: <br />Attorney's Signature1 \ Date: 12/18/2014 <br />County Manager <br />This contract has been reviewed and is approved by the County Manager Yes❑ No❑. <br />This contract has been Date: <br />re ' Ng jpd, �. for signature by the Chair Yes ❑No❑. <br />Manager's Signature: <br />j6VuLkA'f. (AMmtysb 1? 12/22/2014 <br />Clerk to the Board <br />Approved by BOCC on the day of , 20 . Submitted for Chair signature on the _ day of 520 <br />Clerk's Signature: <br />Revised March 2012 <br />Date: <br />