Orange County NC Website
DocuSign Envelope ID: EAFDD22A-03CF-43DD-BC1A-FC763196B728 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Northside Elementary School Party/Vendor Contact Person: Mildred Long Contact Phone: <br /> 919-918-2220 Party/Vendor Address: 350 Caldwell St City Chapel Hill State: NC Zip: 27516 Department: Art <br /> Commition Amount: $650 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683000 Vendor# <br /> 62286 (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 ' 1Df nm dycontent: <br /> $�a.x <br /> Department Director's Signature $�cvc 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 bast ii z)standards, specifications,and requirements: <br /> Qusa, rbrv�c 6 8/13/2016 <br /> Office of the Risk Management Officer Fbe�s8ee4 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 Date: 8/14/2016 <br /> aa€srs ... <br /> Legal Services <br /> This agreement is approved as to 1 1Df rand+sufficiency: <br /> Office of the County Attorney 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 />