HomeMy WebLinkAboutR 2014-368 PA - Malachi Films for video production ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7 i lerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specifiec.above. 11 .Ii C %Tanager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. o n u-acts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal rk�%i c�� 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 PartyN-,m1 n
Address: 1323 Davis Road City Hillsborough State:NC Zip:27278 Department:Public Affairs Amount: $10,000 Purp \ ideo
Production Budget Code(s): 630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes
❑No[>; mtract
Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 7/31/2014 Approved by Board Yes[]No® \�cnda
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 submits (+. 101- bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department i imr ctor as to
technical content: //
Department Director's Signature: Date: ry[It t�
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the I u 1,0nnation
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 Re uirc�i �. Hold
Contract pending receipt of Certificate of Insurance incorporation p Insurance
g p ❑. With into oration of Insurance provisions as sho C�1�c(c�traci > a�T
by the Risk Manager: ) h 'J
Risk Manager's Signature: Date: 77 , JUL 114
71 i4 �u
Financial Services g�It
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A budget amen m i i iecessary
before approval Yes❑No❑. If budget amendment is necessary,please attach to this form. This instrument has been pry .uutiied in the
manner required by the Local Government Budget and Fiscal Control Act:
a �� � �
Financial Services Director's Sig ate:
I I Ice wAN C
County Attorney sdg1v 14nr
Approval by Board ❑ (Contracts $90,0000 or more for goods or services, $250,000.00 or more for construction, umy BOCC
consultant contract). Approva Manager (Most other contracts$1,000 and above). Department Director approval � IIv ❑(Under
$1,000). This contract has be n r Ae and approved by the Attorney as to legal form and suffic` ncy:
Attorney's Signature Date: ,�
County Manaeer
This contract has been reviewed and is approved by the County Manager YesONo❑.
This contract has been reviewed and is foi7sign4Ve byt)e Chair Yes❑No❑.
Manager's Signature: )' 7N Date: 7/,,//,,1/
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