Orange County NC Website
DocuSign Envelope ID:95736998-6EDA-43E6-B687-C1 F04EF89D27 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: El Centro Hispano,Inc. Party/Vendor Contact Person: Francisco Duque Contact Phone: 919- <br /> 672-5950 Party/Vendor Address: 2000 Chapel Hill Rd, Ste 26A City Durham State: NC Zip: 27707 Department: <br /> Art Commition Amount: $1.500 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683000 <br /> Vendor# 801399 (N/A if new vendor) V endor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check <br /> one)New❑ Renewal❑ Amendment ❑ Effective Date_ Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tec &Tmeand content: <br /> Department Director's Signature Date: 8/15/2016 <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 ""s;a''t6 n�1dards, specifications,and requirements: <br /> Q�Sa <br /> Office of the Risk Management Officer FR�(hVV Date: 8/15/2016 <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 �� Date: <br /> 8/15/2016 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to bcfcwjd sufficiency: <br /> Office of the County Attorney <br /> �, q 1` Date: 8/16/2016 <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 />