HomeMy WebLinkAboutR 2013-031 EDC-Arts - Michael Roy Layne dba Legacyworks $1,000 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: Michael Roy Layne dba Legxacyworkss Party/Vendor Contact Person: Michael Roy Layne Contact Phone:
919/616-8417 Party/Vendor Address: 3803 Carnegie Lane City Raleigh State:NC Zip:27612 Department:EDC-Arts Commission
Amount:$1,000 Purpose:Fall 2012 Art Grant Agreement Budget Code(s): 37601020-683001 Vendor#61719 (N/A if new vendor)
Vendor is a BOCC consultant? Yes F-1 NoN Contract Type:(Check one)New Z Renewal❑ Amendment ❑ Effective Date date
of last signature Approved by Board YesZ No❑ Agenda Date:June 19,2012(approval of FYI 3 budget) Title of Contract:
Orange County Arts Commission Fall,2012 Grant Agreement
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑Non. 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: ILI Date:
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 EU/Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: r
A] il 14
Risk Manager's Signature: Date:
3 a= . 1110E M013
Financial Services
This Contract is conditioned n appropriation by the Board of Commissioners YesFINo[R/ A budget amendment is necessary
before approval Yel�No If' . 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:
Financial Services Director's Signature: 4_';--' Date:
County Attorney
Approval by Board ❑ (Contracts $90,000 or more for goods or services, $250,000.00 or more for construction, or any BOCC
ff
consultant contract). Approval by Manager A(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has b4revie ed and approved by the Attorney as to legal form and s uZ ency*
Attorney's Signature Date-
I Vk
County Manager
This contract has been reviewed and is approved by the County Manager YAeEl NoO.
This contract has been reviewed and i for s' re/by the Chair Yesn&pr,
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the A day of 20 Submitted for Chair signature on the day of 120 .
Clerk's Signature: Date:
Revised March 2012