Orange County NC Website
DocuSign Envelope ID:8C46036A-51CC-4D92-82D1-C7C5C11ACO22 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Hillsborough Arts Council Party/Vendor Contact Person: Phillip Cooley Contact Phone: <br /> 919-643-2500 Party/Vendor Address: 102 N Churton St City Hillsborough State: NC Zip: 27278 Department: <br /> Art Commition Amount: $1,500 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683000 <br /> Vendor# 19946 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date_ Approved by Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to tech bdba &4id content: <br /> �y.Xk <br /> Department Director's Signature SZcvc $ t9, Date: 8/12/2016 <br /> -TBa4Er-ae1S€t, ... <br /> Information Technologies <br /> (Applicahle only to hardwarelsoftware 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 sufficienc1!rDCr9110500�ug jwm% t'andards, specifications, and requirements: <br /> 8/13/2016 <br /> Office of the Risk Management Officer Date: <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 F4t" Date: 8/14/2016 <br /> Legal Services <br /> This agreement is approved as to bfepm am4sufficiency: <br /> Office of the County Attorney 44J4 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 @ Dolloydorangecountync. og_v <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 />