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DocuSign Envelope ID:7FB82F39-7614-4970-85EE-75887FBF57E6 <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: $2,010 Purpose: Increase in Spring 2015 Arts Grant <br /> Award Budget Code(s): 37601020 683000 Vendor#52739 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date date of County <br /> Manager's signature Approved by Board Yes No Agenda Date: increase in FY16 Arts Commission <br /> budget due to additional state Grassroots funding-budget amendment approved by BOCC on November 17,2015 <br /> This agreement is approved as to technical form and content: <br /> p DocuSigned by: <br /> Department Director's Signature X14' i4& Date: 12/15/2015 <br /> .--37BD4EFAC1 BE410... <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 /> p DocuSigned by: �.�. <br /> Office of the Risk Management Officer ausx cort&L{{*b Date: 12/16/2015 <br /> °"° 7FDCF9178800498... <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 /> by: <br /> Office of the Chief Financial Officer EDocuSigned <br /> An Date: 12/17/2015 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> 12/18/2015 <br /> Office of the County Attorney . ..a. I,� Date: <br /> 4035CB8304CA4A9 <br /> to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(&,orangecountync.gov <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 /> 5 <br /> Revised June 2015 <br />