Orange County NC Website
DocuSign Envelope ID:6DO02AOC-0905-4ADO-B43C-E12A6421CFEO <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Flow Circus, Inc. Party/Vendor Contact Person: Paul Miller Contact Phone: 919-426-9157 <br /> Party/Vendor Address: 518 W. Juniper Avenue City Wake Forest State: NC Zip: 27587 Department: Library <br /> Amount: $450 Purpose: Programming Budget Code(s): 10500020-630000 Vendor # 53808 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date Approved by Board Yes❑Nor-1 Agenda Date: <br /> This agreement is approved as to technical forth and content: <br /> u5igned by: <br /> Department Director's Signature tz Date: 4/13/2016 <br /> 3E4F015FA55F44D... <br /> Information Technolosies <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: 11i1 <br /> Office of the Risk Management Officer 5&a, ('6 6 Date: 4/14/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigne by: <br /> Office of the Chief Financial Officer Date: 4/15/2016 <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 In,_ Date: 4/15/2016 <br /> 4035CE8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 /> Revised 1/16 4 <br />