HomeMy WebLinkAbout2012-306 S AMS - Leah Long for Use of Eno River Parking Deck for Photography and Videography for motion picture $N/A 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: Leah Long Party/Vendor Contact Person: Leah Long Contact Phone:— Party/Vendor Address:214 Pleasant
Green Road City Hillsborough State:NQ Zip:27278 Department: AMS Amount:n/a Purpose:Use of Eno River Parking Deck for
Photo"by and Videog ion 12ictures-09/08/12@19:30 thru 09/09/12&02:00 Budget Code(s):n/a Vendor#n/a (N/A if
prpphy for
new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type: (Check one)New 0 Renewal❑ Amendment ❑
Effective Date 08/06/12 Approved by Board Yes❑No❑ Agenda Date: Title of Contract:Right of Entry and Use
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 en revile and approved by the Department Director as to
technical content: -z__
Department Director's Signatu ate:
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 M. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: 0/z
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners YesE]NoE?.,*' A budget amendment is necessary
. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
before approval Ycl�Novi,
manner required by the Local Government Budget nd Fiscal Control Act:
Financial Services Director's Signature: Date:
Courtly 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 0(Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has been r an wed approved by the Attorney as to legal form and sufficiency:
Attorney's Signature 7 1 Date:
County Manager
This contract has been reviewed and is approved by the County Manager YesrINoO.
This contract has been reviewed and is far si afore by the air Yes❑NQ[�:''
Manager's Signature: Date:
1411" Clerk to the Board
Approved by BOCC on the_day of 120 Submitted for Chair signature on the day of 120
Clerk's Signature: Date:
Revised March 2012