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DocuSign Envelope ID:2A865267-D754-4BF4-A8D3-E13896BBB185 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Bright Star Children's Theatre Party/Vendor Contact Person: David Ostergaard Contact Phone: <br /> 336-558-7360 Party/Vendor Address: 565 Long Shoals Rd, Suite 204 City Arden State:NC Zip: 28704 Department: <br /> Library Amount: $495 Purpose: Programming Budget Code(s): 10500020-630000 Vendor 4 55870 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> 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 A Date: 11/20/2015 <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:''111L <br /> Office of the Risk Management Office A Ocu (,bvvt,e b Date: 11/29/2015 <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 /> DocuSigned y. <br /> Office of the Chief Financial Officer ( '�°' '�2°'L Date: 11/30/2015 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney Date: 11/30/2015 <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 />