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DocuSign Envelope ID: 1596E7A3-E36D-435A-8F23-BABF53FOAFC8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Estes Hills Elementary School PTA Party/Vendor Contact Person: Meredith Lassiter <br /> Contact Phone: 919-942-4753 Party/Vendor Address: 500 Estes Dr. City Chapel Hill State: NC 27514 Zip: <br /> Department: Art Commition Amount: $1,000 Purpose: Spring 2016 Arts Grant Award Budget Code(s): <br /> 37601020-683000 Vendor#56315 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No[] Contract <br /> Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date_ Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to to m&fPMFl4td�'d content: <br /> Department Director's Signature 37BD4EFAC1BE41o... Date: 8/30/2016 <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 iA5y�; e„0.tandards, specifications,and requirements: <br /> Qusa. r brv�c 6 <br /> Office of the Risk Management Officer � Date: 8/30/2016 <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 rl� �an=arm. Date: 8/30/2016 <br /> ea€sa. .. <br /> Legal Services <br /> This agreement is approved as to cfaa-w":sufficiency: <br /> Office of the County Attorney Date: 9/1/2016 <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 />