HomeMy WebLinkAboutR 2014-266 DEAPR - Laura Casey for creative arts 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: Laura Casey Contact Phone: (919)357-0480 Party/Vendor Address:
2451 Sedeefield Drive City Chapel Hill State:NC Zip: 27514 Department: DEAPR Amount: $2500.00 Purpose: Creative Arts
Instruction Budget Code(s): 10511020 630000 Vendor#59863 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No
® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 07/01/14 Approved by Board Yes❑No®
Agenda Date: Title of Contract:
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:
r
Department Director's Signature: Date: 5 r; 11
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 E]. Hold
Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as d
by the Risk Manager: rPJ Risk Manager's Signature: Date:6 / 7- 32014
Financial Services .
This Contract is conditioned tXon appropriation by the Board of Commissioners Yes❑No[ / A B ry
before approval Yes❑ No[. 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 et and Fiscal Control Act:
Financial Services Director's Signature: a, - )k Date:
County Attorney
Approval by Board ❑ (Contracts $90,000.00 o 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 and by the Attorney as to legal form and sufficiency:
rte/
Attorney's Signature Date:
County Manager
This contract has been reviewed and is a rove y the County Manager Yes No❑.
This contract has been reviewed is f si a re by th Chair Y No2.
Manager's Signature: 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