Orange County NC Website
DocuSign Envelope ID: C65FFCA2-OCAA-4476-9EO3-793FA837F635 ! <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: Friends of the Carrboro Branch Library Party/Vendor Contact Person: Ne , s Levy Contact Phone: 919/969-3006 <br /> Party/Vendor Address: 900 Old Fayetteville Road City Chapel Hill State:NC Zip:27516 Department:EDC-Arts Commission <br /> Amount: 1,500 Purpose:Fall,2014 Arts Grants Agreements Budget Code(s):#37601020-683001 Vendor#30299#2 (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 FYI 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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical Content: DocuSigned by: <br /> Sit 94"44 12/18/2014 <br /> Department Director's Signature: 1 &� 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: DocuSigned""by: <br /> Q�fSa r,6vvte tt0 12/19/2014 <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❑Non. 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 P-adgpt-wad44scal Control Act: <br /> , _ uVR , 12/22/2014 <br /> Financial Services Director's Signature: Date: <br /> FsezEC-a��caaa... <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 Wea&Qdxiewed and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature1 \ Date: 12/22/2014 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes❑Non. <br /> This contract has been r E-7934B�'a5E477_' aq�j§:for signature by the Chair Yes❑No❑. <br /> uLkA'f. ( aMmtysb� 12/22/2014 <br /> Manager's Signature: Date: <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 />