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DocuSign Envelope ID:ACA23B47-0495-420A-873B-7C5DA8D47D66 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Rob Hamilton Party/Vendor Contact Person: Rob Hamilton Contact Phone: 919-636-1802 <br /> Party/Vendor Address: 810 Emory Dr. City Chapel Hill State: NC Zip: 27517 Department: Art Commition <br /> Amount: $1,000 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683001 Vendor # 62288 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date- Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tec ofawaeazO content: <br /> Department Director's Signature 5;kvc $444.11cy Date: 8/12/2016 <br /> aE41 ... <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 ogeb§tandards, specifications,and requirements: <br /> QUSA. r,Orwc,�16 <br /> Office of the Risk Management Officer Date: 8/12/2016 <br /> r�aseea ... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer Date: 8/12/2016 <br /> Legal Services <br /> This agreement is approved as t RtcPMffGtl sufficiency: <br /> Office of the County Attorney 4,— Date: 8/15/2016 <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 /> 5 <br /> Revised June 2015 <br />