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DocuSign Envelope ID: C67D1OAE-118D-40A9-9F56-DE2D32A3FAF5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Historical Foundation of Hillsborough and Orange County. Party/Vendor Contact Person: <br /> Candace Midgett Contact Phone: 919/732-2201 Party/Vendor Address: 201 North Churton Street City <br /> Hillsborough State: NC Zip: 27278 Department: EDC - Arts Commission Amount: $1,500 Purpose: Fall 2015 <br /> Arts Grant Award Budget Code(s): 37601020 683001 Vendor#59229 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date date <br /> of County Manager's signature Approved by Board Yes No❑ Agenda Date: approval of FY16 county <br /> 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 5 v. g44,144 Date: 12/29/2015 <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: 11 <br /> Office of the Risk Management Officer <br /> QLt 0, (bV' uatt Date: 12/29/2015 <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 /> 12/30/2015 <br /> Office of the Chief Financial Officer (q. Date: <br /> �---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> i.--DocuSigned by: <br /> Office of the County Attorney I ii,ti Date: 12/30/2015 <br /> `---4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ 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 />