Orange County NC Website
DocuSign Envelope ID:8B2BA454-076A-4989-AA5C-9D13E537FBD5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Triangle Visual Artists Party/Vendor Contact Person: David Taylor Contact Phone: <br /> 919/967-7697 Party/Vendor Address: 422 Ridgefield Road City Chapel Hill State: NC Zip: 27517 <br /> Department: EDC - Arts Commission Amount: $0 Purpose: display of art in Whitted Building Budget <br /> Code(s): NA Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date April 15, 2016 <br /> Approved by Board Yes❑No® Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> Docu5igned by: <br /> Department Director's Signature Svc $�ax <br /> Date: <br /> 37BD4EFAC1BE410... <br /> Information Technologies <br /> (Applicable only to hardrvare/sofhvane purchases or related services)This agreement has been reviewed <br /> and is 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, (hntt N Date: 4/18/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: <br /> gned by: <br /> Office of the Chief Financial Officer DocuSi Date: 4/19/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> uSigned by: <br /> Office of the County Attorney 56Z, r6ut s Date: 4/19/2016 <br /> EAAMKEDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg countync.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 />