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-_�Vb4_ <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: Iris Thompson Chapman Party/Vendor Contact Person: Iris Thompson Chapman Contact Phone:919/563-4974 <br /> Party/Vendor Address: 1521 Saint Andrews Drive City Mebane State:NC Zip:27302 Department:EDC-Arts Commission Amount: <br /> 500 Purpose:Fall 2013 Art Grant Agreement Budget Code(s): 37601020 683001 Vendor#54135 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date date of last <br /> signature Approved by Board Yes®No[] Agenda Date:June 18,2013(approval of FY14 budget) Title of Contract: Orange <br /> County Arts Commission Fall 2013 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❑Nor-1 Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Inc Date: <br /> IT Direct <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 07. 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: <br /> Risk Manager's Signature: 4�2 (a Date: may[f� <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No ", A budget amendment is necessary <br /> before approval Yes❑No[O 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 Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: CA c.. N° Date: 5114- <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.0 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager 4(Most other contracts$1,000 and above). Department Director approval only❑ (Under <br /> $1,000). This contract has been iewe approved by the Attorney as to legal form and suffic1 nc : <br /> Attorney's Signature Date: 1 <br /> County Manager <br /> This contract has been reviewed i a p v d by the Coun Manager Yes No❑. <br /> This contract has been reviewe d or si at b th air es❑No❑. <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: Date: <br /> Revised March 2012 <br />