Orange County NC Website
DocuSign Envelope ID: 3F44E585-8577-4785-A620-9F18E201 E378 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Friends of the North Carolina Museum of Natural Sciences Party/Vendor Contact Person: <br /> Martha Fisk Contact Phone: 919-707-9883 Party/Vendor Address: 11 West Jones Street City Raleigh State:NC Zip: <br /> 27601 Department: Library Amount: 90 Purpose: Programming Budget Code(s): 10500020-630000 Vendor # <br /> 53678 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> [_ Signed by: <br /> (Za.Department Director's Signature Date: 7/10/2015 <br /> 3E4F015FA55F44D... <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: 11LL <br /> Office of the Risk Management Officer a�lSa (,bnU& Date: 2/10/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> --- lA DocuSign"_ed by: <br /> Office of the Chief Financial Officer 1NAL l,(.1-bVU Date: 2/10/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney Date: 2/10/2015 <br /> 4035C B8304CA4A9... <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 />