Orange County NC Website
DocuSign Envelope ID: 31C2F5CA-4AE1-470E-9A03-ED3712F17DD5 <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: Barbara Barnes Party/Vendor Contact Person: Barbara Barnes Contact Phone: 919/923-1972 Party/Vendor <br /> Address:600 West Poplar Avenue,Apt.H-9 City Carrboro State:NC Zip:27510 Department:EDC-Arts Commission Amount: <br /> 1,000 Purpose:Fall,2014 Arts Grants Agreements Budget Code(s):#37601020-683001 Vendor# (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date date <br /> of last signature Approved by Board Yes®No❑ Agenda Date:June 17,2014(approval of FYI buds Title of Contract: <br /> 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: DocuSigned by: <br /> S it 94"44 Department Director's Signature: Date: 12/18/2014 <br /> 4FFO PH <br /> RE,"-0— <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: Doctu 12/19/2014 <br /> uSigned""by: <br /> Q�fS r,6vvte tt0 <br /> Risk Manager's Signature: Date: <br /> FDC�9=F�6&00&98... <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 GovernmentBtidgeturddFiscal Control Act: <br /> -)- 12/22/2014 <br /> Financial Services Director's Signature: Fsag Date: <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 Manager❑ (Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract dz�e$idarigwed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature 1 \ Date: 12/22/2014 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes[:]No❑. <br /> This contract has been re ' �+K4sppod�,.for signature by the Chair Yes❑No❑. <br /> j6VuLkA'f. ( AMmtysb 1? 12/22/2014 <br /> Manager's Signature: Date: <br /> arcs <br /> Cleric 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 />