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DocuSign Envelope ID: 1732F087-2E47-4F14-BEFD-43DC5AA7123A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: North Carolina Symphony Society, Inc. Party/Vendor Contact Person: Pam Bash Contact <br /> Phone: 919-733-2750 Party/Vendor Address: 3700 Glennwood Ave., Suite 130 City Raleigh State: NC Zip: <br /> 27612 Department: COUNTYMGR/Arts Commision Amount: 1500.00 Purpose: Fall 2016 Arts Grants Budget <br /> Code(s): 37601020 683001 Vendor#57463 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑Non <br /> Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 1/17/2017 Approved by Board <br /> Yes❑Non Agenda Date: <br /> This agreement is approved as to technical form y:and content: <br /> • <br /> DocuSigned b <br /> Department Director's Signatur C'V'a�uS Date: <br /> 0A3E81 B12B364B4... <br /> Information Technologies <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 insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Office aLSL (OV'tAd,{fb Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Office (' 0.../.6-0- <br /> Date: <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal cuSigned by form and sufficiency: <br /> o : <br /> Office of the County Attorne <br /> YE <br /> _k Date: <br /> 4035CB83D4CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 /> 6 <br /> Revised January 2017 <br />