Orange County NC Website
DocuSign Envelope ID: FAC1BFF8- 402D- 4D78- B018- 6C06AB69B701 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Fairway Outdoor Funding, LLC C /O/ Fariway Outoddor Advertising , LLC Party/Vendor <br />Contact Person: Lisa Rondina Contact Phone: 919 - 755 -1900 Party/Vendor Address: 508 Capital Blvd City Raleigh <br />State: NC Zip: Department: Animal Services Amount: $1,300.00 Purpose: Low Cost Spay Nueter Advertisine <br />Budget Code(s): 38215020 600000 Vendor # 32114 (N /A if new vendor) Vendor is a BOCC consultant? Yes 0 <br />No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 1/5/2015 Approved by <br />Board Yes❑ No® Agenda Date: <br />This agreement is approved as to technical form and content: DocuSigned by: <br />I2011t haV' N 11/4/2014 <br />Department Director's Signature Date: <br />Information Technologies <br />(Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br />Office of the Chief Information Officer <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standarPsgqgj otj9ps, and requirements: <br />QuSa r,6vvt,e,tt0 11/17/2014 <br />Office of the Risk Management Officer Date: <br />Fr C-Fq 1 G9H0#9 <br />Financial Services <br />DocuSigned y: <br />This instrument has been pre - audited in the manner require �12F982EC44=444 t e Loca GoveUment Budget and Fiscal Control Act: <br />uXti <br />Office of the Chief Financial Officer ... Date: 11/17/2014 <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: efDocuSignedd by: <br />Office of the County Attorney - gate: 11/17/2014 <br />.. <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd!yorangecountync . gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br />Office of the Clerk to the Board <br />Revised 10/14 4 <br />Date: <br />