HomeMy WebLinkAboutR 2013-034 EDC-Arts - McDougle Middle School PTA $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: McDougle Middle School PTA Party/Vendor Contact Person: Michele Melet Contact Phone:919/933-1556
Party/Vendor Address:900 Old Fyetteville Road City Chapel Hill State:NC Zip:27516 Department:EDC-Arts Commission
Amount:$1,000 Purpose:Fall 2012 Art Grant Agreement Budget Code(s):37601020-683001 Vendor#22226 03 (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 19,2012(approval of FY 13 bu et l 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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date:
IT Director
(Applicable only to hardware/software purchases or related services)This contras 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:
✓�r J�
Risk Manager's Signature: C .6 Date:
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary
before approval Yes❑Noa.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: j
Financial Services Director's Signature: t...- A. Date: 1 CIS 1'3
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 1AJ (Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has be vie d pproved by the Attorney as to legal form and suffici cy:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yes No(--].
This contract has been reviewed and is fo i natur y the air Yes❑No
P Manager's Signature: v{ Date:
-�4
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