HomeMy WebLinkAboutR 2014-592 Arts - The Expedition School for 2014 Arts Grant Agreement DocuSign Envelope ID:076BOC8E-DE31-4F65-8936-FC9B33A56289
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: The Expedition School Party/Vendor Contact Person: Jena Kaizen Contact Phone: 919/245-8432 Party/Vendor
Address:437 Dimmocks Mill Road,Suite#33 City Hillsborough State:NC Zip:27278 Department:EDC-Arts Commission Amount:
500 Purpose:Fall,2014 Arts Grants Agreements Budget Code(s):#37601020-683001 Vendor# (N/A if new vendor) Vendor
is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date date of last
sip-nature Approved by Board Yes®No❑ Agenda Date:June 17,2014 approval of FY15 budget) Title of Contract: Orange
County Arts Commission Fall 2014 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: oocu8igned by:
rsit 94"44 12/22/2014
Department Director's Signature: ®moo 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 ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: oocus 9ned""by:''�
QuSA. (hnu& 12/22/2014
Risk Manager's Signature: � aea� Date:
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A budget amendment is necessary
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 get-atg&"scal Control Act:
Financial Services Director's Signature: , _ uVR Date: 12/22/2014
z�s�z
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 h dd
g&4_p� sufficiency:
ed and approved by the Attorney as to legal form and suciency:
Attorney's Signature �"id, \, Date; 12/22/2014
County Manager
This contract has been reviewed and is approved by the County Manager Yes❑No❑.
This contract has been re ' off&dsFdaGUff:for signature by the Chair Yes❑No❑.
�jOV�.lit,tf. �auhw�c.V'S� 12/22/2014
Manager's Signature: o�s94a7-se Date:
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