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DocuSign Envelope ID:7D77BF08-C5B6-4DA6-9F5F-FA6BA85DEECA <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Chapel Hill Magazine Party/Vendor Contact Person: Ellen Shannon Contact Phone: 919- <br /> 933-1551 Party/Vendor Address: 1777 Fordham Blvd. Ste 105 City Chapel Hill State: NC Zip: 27514 <br /> Department: Economic Development/Manager's Office Amount: $12,5000 Purpose: Collaboration/Events Budget <br /> Code(s): 34-34600020-900046 Vendor#61738 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No <br /> ® Contract Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board <br /> Yes❑No® Agenda Date: <br /> This agreement is approved as to tec ilfc�§idaWd t j?444`Z`pp --content: <br /> Department Director's Signature o-sE-l0 Date: 10/17/2016 <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 to /f aiewy' of insurance standards, specifications,and requirements: <br /> QUSA r,Orwc X16 11/2/2016 <br /> Office of Risk Management ,,s,,,-7-,,,,4, 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: F cuSigned by: <br /> Office of the Chief Financial Officer � Date: 11/2/2016 <br /> �B4ES181 4GPI 409... <br /> Legal Services <br /> This agreement is approved as to h ofd sufficiency: <br /> J 1 S <br /> Office of the County Attorney l rry Date: 11/2/2016 <br /> �seeas <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />