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DocuSign Envelope ID:OBF594CD-1070-46AF-ABCO-1 E58F195B10B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Franklin Street Arts Collective dba FRANK Gallery Party/Vendor Contact Person: Barbara <br /> Tyroler Contact Phone: 919/636-4015 Party/Vendor Address: 109 East Franklin Street City Chapel Hill State:NC <br /> Zip: 27514 Department: EDC - Arts Commission Amount: $1,153 Propose: Spring 2015 Arts Grant Award <br /> Budget Code(s): 37601020 683000 Vendor# 52739 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date date of County <br /> Manager's signature Approved by Board Yes® No❑ Agenda Date: approval of FY16 county budget by <br /> BOCC-June 16,2015 <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature Steve $ Date: <br /> 8/20/2015 <br /> 37BD4EFAC1 BE410... <br /> Information Technologies <br /> (Applicable only to hardia,are/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 of insurance standards,specifications,and requirements: <br /> --DocuSigned""by: <br /> ''� <br /> Office of the Risk Management Officer Aura. 66vvt,e 6 Date: 8/20/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> --DocuSign"_ed by: <br /> Office of the Chief Financial Officer rNAL l A�bw Date: 8/21/2015 <br /> 232DFFC2CFA847B... <br /> Lelzal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney ✓ Date: 8/21/2015 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecounlync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> 5 <br /> Revised June 2015 <br />