Orange County NC Website
DocuSign Envelope ID: D830FDE7-7735-4C4D-946F-99B358D08638 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The ArtsCenter Party/Vendor Contact Person: Jeri Lynn Schulke Contact Phone: 919/929- <br /> 2787 Party/Vendor Address: 300-G East Main Street City Carrboro State: NC Zip: 27510 Department: EDC - <br /> Arts.Commission Amount: $1,250 Purpose: Fall 2015 Arts Grant Award Budget Code(s): 37601020 683001 <br /> Vendor#5383 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date date of County Manager's signature Approved by Board <br /> Yes®No❑ Agenda Date: approval of FYI county budget by BOCC-June 16,2015 <br /> This agreement is approved as to technical form and content: <br /> Docu5igned by: <br /> Department Director's Signature Svc $4a.x Date; 12/30/2015 <br /> 37BD4EFAC1BE410... <br /> Information Technologies <br /> (Applicable only to hardrvare/sgfhvare 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 /> "by:'11 Office of the Rislc Management Officer FDocuSigned <br /> llSA. r,OVltt, 6 Date: 12/30/2015 <br /> 7FDCF9176800498... <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 � a Date: 12/31/2015 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorney D nU Date; 1/6/2016 <br /> 4035C88304CA4A9... <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 />