HomeMy WebLinkAboutR 2014-103 Arts - McDougle Elementary School PTA for Fall 2013 Art Grant Agreement ..Zo1-4-103
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 Elementary�School PTA Party/Vendor Contact Person: Rachael Cruickshank Contact Phone: 919/969-
2435 Party/Vendor Address: 890 Old Fayetteville Road City Chapel Hill State:NC Zip:27516 Department:EDC-Arts Commission
Amount: 800 Purpose:Fall 2013 Art Grant Agreement Budget Code(s):37601020 683001 Vendor#22226#6 (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 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:
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 Lj: 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: Date: J//
3
11 L It3
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes❑No[R.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" /' �/'�`�� Date: i 151 I'f
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 LA(Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has b e revie d d approved by the Attorney as to legal form and suffici ncy:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is app oved the C ty Man er Yes No❑.
This contract has been reviewed is fo ign a by e hai Y s❑ o❑.
Manager's Signature: Date: f
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