R 2016-446-E Arts - Preservation Chapel Hill - Spring 2016 Arts Grant Agreement

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DocuSign Envelope ID:CF9CCDA7-654A-4636-8636-D086CDC8600C ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Preservation Chapel Hill Party/Vendor Contact Person: Tama Hochbaum Contact Phone: 919-942-7818 Party/Vendor Address: 610 E. Rosemary St. City Chapel Hill State: NC Zip: 27514 Department: Art Commition Amount: $1,500 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683000 Vendor#62284 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New® Renewal❑ Amendment ❑ Effective Date_ Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to tech ' b(fa n"-.content: Department Director's Signature 51tvt F4"vt9, Date: 8/13/2016 Information Technologies (Applicahle only to hardwarelsoftware purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency bm&giV ,y�tallndards, specifications, and requirements: LPDCP91105008/13/2016 Office of the Risk Management Officer Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DOCUSigned by: Office of the Chief Financial Officer F4t" 16.&. Date: 8/14/2016 11 lip, Legal Services This agreement is approved as to aROM""-sufficiency: Office of the County Attorney ` Date: 8/15/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydorangecountync,gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: 5 Revised June 2015