Orange County NC Website
Browse       Search
DocuSign Envelope ID: 3F12CD86-8239-4E1E-BCE6-2327E57AF832 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Jeannette Brossart Party/Vendor Contact Person: Jeannette Brossart Contact Phone: <br /> 919/384-0734 Party/Vendor Address: 4425 Bracada Drive City Durham State:NC Zip: 27705 Department: EDC <br /> -Arts Commission Amount: $1,000 Purpose: Wiring 2016 Arts Grant Award Budget Code(s): 37601020 683001 <br /> Vendor# (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 FY17 county budget by BOCC-June 21,2016 <br /> This agreement is approved as to technical form and content: <br /> Docu5igned by: <br /> Department Director's Signature 6/24/2016 <br /> $ vc $ a.x Date: <br /> 37BD4EFAC1BE410... <br /> Information Technologies <br /> (Applicable only to hardivare/sofhvare 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:''��.�.. <br /> Office of the Risk Management Officer riusa' r wt,il6 Date: 6/24/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> gned by: <br /> Office of the Chief Financial Officer DocuSi Date: <br /> 6/27/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> igned by: <br /> Office of the County Attorney DocuS <br /> Date: 6/27/2016 <br /> 4035CE8304CA4A9... <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg count n�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 />