HomeMy WebLinkAbout2012-330 S Arts - Door to Door of UNC Health Care $1,500 .�1a- 330
ORANGE COUNTY—CONTRACT CONTROL SKEET
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: Door to Door of UNC Health Care Party/Vendor Contact Person: Joy Javits Contact Phone: 919/929-5355
Party/Vendor Address: CB#7600 Volunteer Services City Chapel Hill State:NC Zip:27599-7600 Department:EDC-Arts
Commission Amount: 1 500 Purpose: Sig 2012 Grassroots Arts Awards Budget Code(s): 37601020 683000 Vendor#51843 (N/A
if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑
Effective Date 7/19/12 Approved by Board Yes❑No® Agenda Date:9/18/12 Title of Contract:Orange County Arts Commission
Spring,2012 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:
Department Director's Signature:
a4 4Lel Date:_s ' -
IT Director
(Applicable only to hardwarelsoftware 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; El WC; ❑ Professional; ❑ Property; OR No Insurance Required �L Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: 6 "L_ � � Date:
Financial Services
This Contract is conditioned on 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 Budget and
± Fiscal Control Act:
A't
Financial Services Director's Signature: 4� ,!"•A A'`--- Date: k1 210/
County Attorney
Approval by Board Contracts $90,00 00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approva y Manager{Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has be vie we d proved by the Attorney as to legal form and sufficienc :
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes�o❑.
This contract has been reviewed and is for signature by the Chair Yes❑NoD. "-
Manager's Signature: Date:
Cle k 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