R 2014-606 Arts - Phillips Middle School PTSA for 2014 Arts Grants Agreements

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DocuSign Envelope ID: BE866E89-1A7E-4ACC-80F3-145CB52C649E ORANGE COUNTY—CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: Phillips Middle School PTSA Party/Vendor Contact Person: Cristina Smith Contact Phone: 919/929-2188 Party/Vendor Address: 606 N.Estes Drive City Chapel Hill State:NC Zip:27514 Department:EDC-Arts Commission Amount: $1,000 Purpose:Fall,2014 Arts Grants Agreements Budget Code(s):#37601020-683001 Vendor#49341 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date date of last signature Approved by Board Yes®No❑ Agenda Date: June 17,2014(approval of FY15 budget) Title of Contract: Orange County Arts Commission Fall 2014 Grant Agreement If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: DocuSigned by: Sit 94"44 12/22/2014 Department Director's Signature: e... Date: -aEaa IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved by the Risk Manager: DocuSigned"by: Q�fSa r,6vvu tt0 12/22/2014 Risk Manager's Signature: Date: i=BeFS-r�eeooa ... Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A budget amendment is necessary before approval Yes❑No❑. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government 7tF982EC-44�i�dfbiscal Control Act: n",tt, ,�u.�ti 12/22/2014 Financial Services Director's Signature: Date: C^zC§dk... County Attorney Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager❑ (Most other contracts$1,000 and above). Department Director approval only❑(Under $1,000). This contract at wuiewed and approved by the Attorney as to legal form and sufficiency: Attorney's Signature 4"Jj, 1� Date: 12/30/2014 County Manager This contract has been reviewed and is approved by the County Manager Yes❑No❑. This contract has been re ' gdgpddisyfor signature by the Chair Yes❑No❑. j6VUW,f. ( AMmtysb 1? 12/30/2014 Manager's Signature: Date: �99�@�B5 ... Clerk to the Board Approved by BOCC on the day of ,20 Submitted for Chair signature on the day of ,20 Clerk's Signature: Date: Revised March 2012