Orange County NC Website
Browse       Search
DocuSign Envelope ID:ADA790E5-534D-4BF7-A16B-7CO63FB95857 <br /> ORANGE COUNTY-DEPARTMENT USE, ONLY <br /> ............................................................................................................... ---......................................................................................................................................... <br /> I'arty/Vendor Name: CarrbpiLo Elenientar)L.S -.jjQq ynn Wellpt Contact Phone: <br /> I Party/Vendor Contact Person: L <br /> -9 1 9.19..6 8 365.; Partylvendor Address:400 Shellont Street City�,arrt�?q) Statc� NC Zip:275j,0 Department: FMC- <br /> .... ............................ .................................................................. ................... ................................... <br /> Arts Cornniission AmounC �$l 0-00 Purpose: A- <br /> ;zQ..j.5 Arts,"G_ra,Ii( AlLvard Budget Code(s): 37601020 683000 <br /> Vendor# ....8 97, (N/A ifnew vendor) Vendor is a BO(',(,, consultant? YcsE1 No,N Contract'rype: (Check one) <br /> .... ........... <br /> New 0 Renewal R Amendment ❑ Effective D ate 'date c Count i Mann 1&ssi antptrare Approved by Board <br /> YeSM NoR Agenda Date: a) roval,of Y 1count F6 <br /> ............................................ �)qd le�tby f) 2-015 <br /> This at is approved as to t c c' [PoCuSigned by: :ent: <br /> 54evt F4"Itelp 6/26/2015 <br /> 5. <br /> Departrnert( Director's Signature-1373NEFAC1BE410... Date: -- - <br /> Information TechnotoLlies <br /> (Aj,)pli•able only to ormlaledser vices)'rms agreement has been reviewed and is <br /> approved as to infiormation technology content and specifications- <br /> Office of the Chief Information Officer <br /> Risk ManagR!ngg <br /> Jbis agreement is approved for sufficiency W—ou S I i gned by':--`—Is,specifications,and requirements: <br /> US01 (h 6 Date. 6/26/2015 <br /> Office of the Risk Management Officer- E,7 FD C F9 1768 0040 8 .................... .............. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Governnient Budget and Fiscal Control <br /> rah cc DoruSigned by: <br /> aU �61vu 6/26/2015 <br /> Office of the Chief Financial Officer EP232DFFC2CFA847B 11 11-1- Date:. ................................................ <br /> Legal Services <br /> This agreement is approved as to DocuSigned by: ley: <br /> 6/29/2015 <br /> Office of Me County Attot"t1ey Date: <br /> 4035CB8304CA4M... ...... .... .............................. - - <br /> I'llerk to the Board <br /> Received for record retention: <br /> All D0CUSigr1I contracts must be copied to Donna L,110yd UpOD COMPICtion(cam Qq,loy,d(,e)g !. )!ul Inc, gq <br /> y <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 /> 5 <br /> Revisedhine 2015 <br />