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DocuSign Envelope ID:8F88575A-521 C-49FD-A8D6-A2910458157E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: One Song Productions Party/Vendor Contact Person: Jacqueline Preyer Contact Phone: <br /> 919/619-3517 Party/Vendor Address: 1500 W. Main Street, P.O. Box 1043 City Carrboro State: NC Zip: 27510 <br /> Department: EDC - Arts Commission Amount: $1,222 Purpose: Fall 2015 Arts Grant Award Budget Code(s): <br /> 37601020 683001 Vendor # 53510 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date date of County Manager's <br /> signature Approved by Board Yes No❑ Agenda Date: approval of FY16 county budget by BOCC - June <br /> 16,2015 <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature $ c,�itvc 84444 Date: 12/22/2015 <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 /> DocuSigned by: <br /> Office of the Risk Management Officer LSa r,OVIALli{O Date: 12/22/2015 <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 /> DocuSigned by: <br /> Office of the Chief Financial Officer (l Date: 12/28/2015 <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 <br /> Date: 12/28/2015 <br /> 4035CB8304CA4A9 <br /> to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a 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 />