Orange County NC Website
DocuSign Envelope ID:6CE20844-42EF-4C06-ACDA-F9F9C06A8620 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: North Carolina Arts in Action Party/Vendor Contact Person: Marlon Torres Contact Phone: <br /> 919/259-4973 Party/Vendor Address: P.O. Box 51277 City Durhaml State: NC Zip: 27717 Department: EDC - <br /> Arts Commission Amount: $1,000 Purpose: Spring 2015 Arts Grant Award Budget Code(s): 37601020 683000 <br /> Vendor#55892 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date date of County Manager's signature Approved by Board <br /> Yes®No❑ Agenda Date: approval of FY16 count budget by BOCC-June 16,2015 <br /> This agreement is approved as to tec �n a content: <br /> Svc $� 6/18/2015 <br /> Department Director's Signature Date: <br /> Information Technologies <br /> (Applicable only to hardware/sofhvare 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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency rZ§gTgj�q" pn�dards,specifications,and requirements: <br /> SA. r,6Vlrt b 6/22/2015 <br /> Office of the Risk Management Officer Date: <br /> CF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSign�e�d�by: <br /> � <br /> A UL �' D" bin, <br /> Office of the Chief Financial Officer Date; 6/22/2015 <br /> Di=FeseF�sa-7 ... <br /> Legal Services <br /> This agreement is approved as to ,fwrmeand sufficiency: <br /> Office of the County Attorney 1 4"J11� Date: 6/23/2015 <br /> _4U150Ubb1j Ay <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy2orangecounty nc.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 Date: <br /> 5 <br /> Revised June 2015 <br />