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DocuSign Envelope ID: 16EAl1A7-56F9-4B2E-875D-257F8FC28995 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Hillsborough Arts Council Party/Vendor Contact Person: Tinka Jordv Contact Phone: 919- <br /> 643-2500 Party/Vendor Address: 102 N Churton St City Hillsborough State: NC Zip: 27278 Department: Art <br /> Commition Amount: $1,500 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683000 Vendor <br /> # 19946 (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 ri . f �066c��o��ntent: <br /> Department Director's Signature c j?444`1"y Date: 8/12/2016 <br /> 37BD4EFAC1BE410... <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 of iUs uWncegbs;tandards, specifications,and requirements: <br /> Office of the Risk Management Officer Q�Sa �,Orvu X16 Date: 8/13/2016 <br /> 7FDCF9176800498... <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: 8/14/2016 <br /> Legal Services <br /> This agreement is approved as to bcfc sufficiency: <br /> Office of the County Attorney 4�,q 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 />