R 2015-274-E Arts - SECU Family House at UNC Hospitals for Spring 2015 Arts Grant Agreement

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DocuSign Envelope ID: EOF5DO34-4BD2-4108-A49B-B7DF76BF3EBB ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: SECU Family House at UNC Hospitals Party/Vendor Contact Person: Allison Worthy Contact Phone: 919/932-8000 Party/Vendor Address: 123 Old Mason Farm Road City Chapel Hill State:NC Zip: 27517 Department: EDC - Arts Commission Amount: $1,500 Purpose: Spring 2015 Arts Grant Award Budget Code(s): 37601020 683000 Vendor#61718 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date date of County Manager's signature Approved by Board Yes® No❑ Agenda Date: approval of FY16 county budget by BOCC -June 16,2015 This agreement is approved as to tec ' a1&r§mmt%d content: $� Department Director's Signature Sic Date: 6/18/2015 Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency ' UWAgg%$andards,specifications,and requirements: Q�ASA. r,6Vlit,t�0 Office of the Risk Management Officer Date: 6/22/2015 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSignne�d�by: � PM AL [4 D".�61VU Office of the Chief Financial Officer P Date: 6/22/2015 Legal Services This agreement is approved as to 6fiWM-afvd sufficiency: Office of the County Attorney 1 4"J11� Date: 6/23/2015 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg countync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: 5 Revised June 2015