Orange County NC Website
DocuSign Envelope ID: 78F43652-7587-4842-8392-C1A386736DBE <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Communities in Schools of Orange County Party/Vendor Contact Person: Max Puhala <br /> Contact Phone: 919/967-6677 Party/Vendor Address: 210 N. Columbia Street City Chapel Hill State: NC Zip: <br /> 27514 Department: EDC - Arts Commission Amount: $500 Purpose: Spring 2015 Arts Grant Award Budget <br /> Code(s): 37601020 683000 Vendor#26951 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date date of CogRty County Manager's <br /> signature Approved by Board Yes® No❑ Agenda Date: approval of FYI county u get by BOCC -June <br /> 16,2015 <br /> This agreement is approved as to tec nkEatjj Ng4Qd content: <br /> Department Director's Signature Sic 9444-� Date: 6/18/2015 <br /> 37BD4EFAC1 BE410... <br /> Information Technologies <br /> (Applicable only to hardware/sofrivare purchases or related setTices)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficient �vjvfiwp,standards,specifications,and requirements: <br /> Austu r,6V17t b 6/22/2015 <br /> Office of the Risk Management Office Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> �A., �bin, <br /> Office of the Chief Financial Officer Date: 6/22/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as t aim-at%d sufficiency: <br /> Office of the County Attorney Date: 6/23/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollovd@oraiigecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> 5 <br /> Revised June 2015 <br />