HomeMy WebLinkAboutR 2013-227 DEAPR - Laura Casey for Creative Arts Camp Instruction $2,000 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: Laura Casey Party/Vendor Contact Person: Contact Phone: 919 - 80 Party/Vendor Address: 2451
Sedgefield Drive City Chapel Hill State:NC Zip: 27514 Department: DEAPR Amoun � 2000 rpose: Creative Arts Camp
Instruction Budget Code(s): P. Vendor#S796,3(N/A if new vendor) Vendor is B consultant? Yes❑No❑ Contract
Type: (Check one)New ® enewal ❑ Amendment ❑ Effective Date Appr y Board Yes❑No❑ Agenda Date:
Title of Contract: Creative Arts Camp Instruction
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: Date: 3
IT Director
(Applicable only to har are/s ftware purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to ical 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 2/ 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: lAWW-,w 0 A-1— Date: #7 ? �?
Financial Services
This Contract is conditioned Won appropriation by the Board of Commissioners Yes❑NoE� A budget amendment is necessary
before approval Yes❑Noy. 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: A4_,W �� Date: 73 13
County Attorney
Approval by Board ❑ (Contracts o r $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC; consultant
contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the Coun Manager Yes No❑.
This contract has been reviewed and is to be submitted for B _q consideration Yes❑Noa.
Manager's Signature: Date: `� l✓
Clerk to the Board
Approved by BOCC on the_day 0 . Submitted for Chair signature on the_day of_ 20
Clerk's Signature: Date:
Revised April 2010