HomeMy WebLinkAboutR 2014-593 Arts - Barbara Tyroler for 2014 Arts Grant Agreement DocuSign Envelope ID:4CB7473F-4B13-4A9C-A9FF-64745B8579B8
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: Barbara T,r� oler Party/Vendor Contact Person: Barbara Tyroler Contact Phone: 919/360-8791 Party/Vendor
Address: 120 Old Forest Creek Drive City Chapel Hill State:NC Zip:27514 Department: EDC-Arts Commission Amount:$j Q0
Purpose:Fall,2014 Arts Grants Agreements Budget Code(s):#37601020-683001 Vendor#60793 (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: Oranee
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❑Non Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content: [E�E_Rw00...S by:
� 12/22/2014
Department Director's Signature: 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: DocuSigned""by:
Q�fSa r,6vvte tt0 12/22/2014
Risk Manager's Signature: Date:
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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 buiddFiscal Control Act:
12/22/2014
Financial Services Director's Signature: Date:
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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 b&qg j -gi6,wed and approved by the Attorney as to legal form and sufficiency:
Attorney's Signature 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 ' d}_�,.for signature by the Chair Yes❑No❑.
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Manager's Signature: 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