Orange County NC Website
DocuSign Envelope ID: E9553E7D-3748-4C37-A9D7-602D42934ACC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Public Gallery of Carrboro,DBA WCOM-LP Radio Party/Vendor Contact Person: Art Menius <br /> Contact Phone: 919-675-2787 Party/Vendor Address: 300-G East Main Street City Carrboro State: NC Zip: 27510 <br /> Department:Finance&Administrative Services Amount: 1000 Purpose: Outside Agencies Funding Budget Code(s): <br /> 10695050-720273 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes[] No❑ <br /> Agenda Date: 6/21/16 <br /> This agreement is approved as to technical forma Wf& !ed by: <br /> Department Director's Signature t� nnG�, Date: <br /> Information Technolo0es <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 insur �d > b�5pecifications,and requirements: <br /> Q�Sa COV'ln,t,{fb <br /> Office of the Risk Management Officer �FOCFS,�ssoo4s8... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner equ'F6ff y111�Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: <br /> naFS�ginrr�anq <br /> Legal Services <br /> This agreement is approved as to legal form and sur Li <br /> ea by <br /> Office of the County Attorney by: Date:M. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.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 /> (Public Gallery of Carrboro,DBA WCOM-LP Radio) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />