Orange County NC Website
DocuSign Envelope ID:9020A6ED-452A-4E45-90D6-6EA531 E010E2 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Chapel Hill-Carrboro Public School Foundation Party/Vendor Contact Person: Lynn <br /> Lehmann Contact Phone: 919/967-8211 Party/Vendor Address: P.O. Box 877 City Carrboro State: NC Zip: <br /> 27510 Department: EDC - Arts Commission Amount: $1,000 Purpose: Fall 2015 Arts Grant Award Budget <br /> Code(s): 37601020 683001 Vendor#58283 (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 $1.vc $4444fc, Date: 12/27/2015 <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 /> ""� ''���. 12/28/2015 <br /> Office of the Risk Management Officer ausx Vt&A 16 Date: <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 /> c---DocuSigned by: <br /> Office of the Chief Financial Officer <br /> 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 �� M I, Date: <br /> 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 /> 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 />