HomeMy WebLinkAboutR 2014-353 Arts - SECU Family House at UNC Hospitals - Spring 2014 Arts Grant Agreement ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(71( Jerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. b'the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. e'ontracts 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: SECU Family House at UNC Hospitals Party/Vendor Contact Person: Kirsten Beattie Contact Phone y 1 9932-
8000 Party/Vendor Address: 123 Old Mason Farm Road City Chapel Hill State:NC Zip:27517 Department:EDC-Arts c,'oniinission
Amount: $1,500 Purpose: Spring 2014 Arts Grants Agreements Budget Code(s): #37601020-683000 Vendor#61718 (N/A i f new
vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment [_] f:ffective
Date date of last signature Approved by Board Yes®No❑ Agenda Date:June 17,2014 a(__pnroval of FYI budget) 'l ifle of
Contract: Orange County Arts Commission Spring 2014 Grant Agreement
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for hid were
bids/RFPs received Yes❑No[] Bid/RFP number This contract has been reviewed and approved by the Department I)irector as to
technical content: I Al
Department Director's Signature: V", Date: 3
IT Director
(Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the I nformation
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Manaeement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Inst fFmaa R qui_cad
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shoes ip jaui is app* v
by the Risk Manager:
n JUL � 4
Risk Manager's Signature: LAC _ o .�-�- Date: /
Financial Services Y -
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No� A budget amendment is necessary
before approval Yes❑NoM.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* A /
Financial Services Director's Signature: t/l Date: `
.1l7
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 anager (Most other contracts$1,000 and above). Department Director approval on Iy [.] (Under
$1,000). This contract has been vi ed d p oved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager y
This contract has been reviewed and is approved by the County Manager YesF/ No❑.
This contract has been reviewed and is for signature by the Chair Yes❑No❑.
�
Manager's Signature: Date:
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