Orange County NC Website
DocuSign Envelope ID:91 EBAFOC-C657-45EC-A3B5-269F8912EDF5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Music and Dance Productions, Ind Party/Vendor Contact Person: Wesley Contact Phone: <br /> Party/Vendor Address: P O Box 728 City Franklinton State: NC Zip: 27527 Department: Aging Amount: <br /> $3,000.00 Purpose: senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 61488 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br /> Effective Date July 1,2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature « <br /> Date: 7/6/2015 <br /> B7E962D1BF454FA... <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned""by:''1L <br /> PAUStL r,6vvte tt0 7/7/2015 <br /> Office of the Risk Management OfficerDate: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the mu s eq�y ed by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer <br /> �&(A bV' Date: 7/7/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le �l fAm�p sufficiency: <br /> Office of the County Attorney Date: 7/7/2015 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v <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 /> Revised 10/14 4 <br />