HomeMy WebLinkAboutR 2013-529 Arts - Lisa Tinka Jordy for Fall 2013 Art Grant Agreement $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: Lisa"Tinka"Jordv Party/Vendor Contact Person: Lisa"Tinka"Jordv Contact Phone:919/757-2181 Party/Vendor
Address: 1902 Borland Road City Hillsborough State:NC Zip:27278 Department:EDC-Arts Commission Amount: $1.000 Purpose:
Fall 2013 Art Grant Agreement Budget Code(s):37601020 683001 Vendor#59537 (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 FYI budget) Title of Contract:Orange County Arts
Commission Fall 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: 7r Z
IT Director
(Applicable only to hardware/software purchases or related services)This co act 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: /� n
Risk Manager's Signature: Date:
Financial Services
This Contract is cond4loned upon appropriation by the Board of Commissioners YesRfNo❑. A budget amendment is necessary
before approval YesM Non. 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: �t *-w �• /�'„'' Date: b �'
County Attorney
Approval by Board ❑ (Contracts $90,000. 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 ben vie d and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date: 1
County Manager
This contract has been reviewed and is r ed the County ana er Yes�No❑.
This contract has been reviewed an ' or e b ❑No❑.
Manager's Signature: of Date:
Clerk to the Board
Approved by BOCC on the day of ,20 Submitted for Chair signature on the_day of 120
Clerk's Signature: Date:
Revised March 2012