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DocuSign Envelope ID:8D90A134-54E4-46B6-915E-82C6COD24DCA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The Peoples Channel Party/Vendor Contact Person: Carson Riedel Contact Phone:919/960- <br /> 0088 Party/Vendor Address: 300 S. Elliott Road, Suite AC City Chapel Hill State:NC Zip: 27514 Department: <br /> EDC - Arts Commission Amount: $1,500 Purpose: Fall 2015 Arts Grant Award Budget Code(s): 37601020 <br /> 683001 Vendor#40400 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date date of County Manager's signature Approved <br /> by Board Yes No❑ Agenda Date: approval of FY16 county budget by BOCC-June 16,2015 <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature $itvc g44444 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 /> /Docu5igned""by: �1.�1. <br /> Office of the Risk Management Officer <br /> QuSA. (m/w X16 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 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! _ 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@orangecountync.gov <br /> 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 />