HomeMy WebLinkAboutR 2013-331 Arts - Ephesus Elementary School PTA $1,000 Spring 23013 Arts Grant Agreement ORANGE COUNTY,-CONTNLACT 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-_ Ephesus Elemental , a A Party/Vendor Contact Person: Nicole Kushner Contact Phone: 919/929-8715
Party/Vendor Ad ess_ 495 Epes C arch oad City Chgpel Hill State:NC Zip:27517 Department:EDC-Arts Commission
Amount: $1,000 Purpose: Spring 2013 Art Grant Agreement Budget Code(s):37601020 683000 Vendor#55065 (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 18,2013 (approval of FY14 budget) Title of Contract:
Orange County Arts Commission Spring 2013 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: Date: 25-za
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 [r 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: `'� ' '' 41� Date:
Financial Services
This Contract is conditioned 96on appropriation by the Board of Commissioners Yes❑No[I/ A budget amendment is necessary
before approval Yes❑Nog. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Bud g t and Fiscal Control 71, Date:
Financial Services Director's Signature: 't—e✓ S 1
County Attorney
Approval by Board ❑ (Contracts $90,00 0 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager(Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has be r vie d approved by the Attorney as to legal form and suffici ncy: IR
Attorney's Signature Date: � L
County Manager
This contract has been reviewed and is approved by the County Manager Yes ,No❑.
This contract has been reviewed and is for signature by the ClWir Yes❑No
/P,;>Manager's Signature: Date.R� �
Clerk to the Board
Approved by BOCC on the`day of 120 Submitted for Chair signature on the_day of ,20
Clerk's Signature: Date:
Revised March 2012