Orange County NC Website
DocuSign Envelope ID:645F21AA-AAD3-4FC9-BD8D-42EC7135B722 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Sheila Kerrigan Party/Vendor Contact Person: Sheila Kerrigan Contact Phone: 919-360- <br /> 0690 Party/Vendor Address: 2310 Stansbury Rd City Chapel Hill State: NC Zip: 27516 Department: Art <br /> Commition Amount: $1.000 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683001 Vendor <br /> # 63977 (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 tech ' Pf "ISA&t j?444`I&Y ppo--ntent: <br /> Department Director's Signature 37-@94€ACA-D€499 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 sufficiency standards, specifications,and requirements: <br /> QUSA <br /> Office of the Risk Management Officer (hntt t 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 /> aa€srs Atc 1409 <br /> Legal Services <br /> This agreement is approved as to lfgal dal Sufficiency: <br /> Office of the County Attorney 1`� 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 />