Orange County NC Website
DocuSign Envelope ID:7D323FEA-418F-42CB-B5B9-994EE4762726 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Extraordinary Ventures Party/Vendor Contact Person: Lucie House Contact Phone: 919- <br /> 967-1100 Party/Vendor Address: 200 S. Ellioit Rd. City Chapel Hill State: NC Zip: 27514 Department: Art <br /> Commition Amount: $1,500 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683000 Vendor <br /> # 57543 (N/A if new vendor) V endor 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 tech ' b ,aadycontent: <br /> Department Director's Signature Date: 8/12/2016 <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 sufficient duslibulystandards, specifications,and requirements: <br /> Office of the Risk Management Officer Qusa, (hVV ff 6 Date: 8/13/2016 <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 �_N Date: 8/14/2016 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to 1 , d,5ufficiency: <br /> Office of the County Attorney Date: 8/15/2016 <br /> 4035CB83D4CA4A9... <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 />