R 2016-605-E Finance - Hillsborough Arts Council - Outside Agency Performance Agreement

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DocuSign Envelope ID: DBF0775B-3A75-4D97-9EA7-5AC7933304BF ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Hillsborough Arts Council Party/Vendor Contact Person: Neil Stutzer Contact Phone: 919- 643-2500 Party/Vendor Address: 102 N. Churton Street City Hillsborough State: NC Zip: 27278 Department: Finance &Administrative Services Amount: 7500 Purpose: Outside Agencies Funding Budget Code(s): 10695050- 720272 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one) New® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes[] No❑ Agenda Date: 6/21/16 This agreement is approved as to technical form and 17i W4$igned by: Department Director's Signature � Date: aES, Information Technolo0es (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insur di 6ds4,specifications,and requirements: gusa. (hVVxft6 Office of the Risk Management Officer Date: AFDC—F99 FoS90&95... Financial Services This instrument has been pre-audited in the manner @qhu Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer 7(i Date: �B&Er1S40 CS 1409... Legal Services This agreement is approved as to legal form and s uSrgned by: Office of the County Attorney 1 1` Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: (Hillsborough Arts Council) Orange County Outside Agency Performance Agreement Rev. 8116