HomeMy WebLinkAboutR 2014-178 PA - Malachi Films - Video Production 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: Malachi Films Party/Vendor Contact Person: Caleb Childers Contact Phone:919.525.5200 Party/Vendor
Address: 1323 Davis Road City Hillsborough State:NC Zip:27278 Department:Public Affairs Amount: $10,000 Purpose: Video
Production Budget Code(s): 630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract
Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 4/3/2014 Approved by Board Yes❑No® Agenda Date:
Title of Contract:Video Production Services
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: (Fj 2
irector
(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 In urance Rees uir�ed_❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as sh nis�>{Ra¢t iffp� e
by the Risk Manager: nn �p LL�� LLB; �LJJ
Risk Manager's Signature: [ _ �S/ �� Date: T /SL APR -12 014
-418 --4:>.rn .
Financial Services By
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nop. A budget amendment is necessary
before approval Yes❑No[gIf 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: (�( � �• A✓ Date:
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 (Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been reviewed pproved by the Attorney as to legal form and sufficiency:
lqAttorney's Signature ti Date: — le—
County Manager
This contract has been reviewed and is r ved y the County ager Y s No❑.
This contract has been reviewed an for n e b C Yes❑
Manager's Signature: Date:VW
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