R 2017-058-E Arts - Cedar Grove Neighborhood Association - Fall 2016 Arts Grant Agreement

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DocuSign Envelope ID: CCBBE1A9-7380-4ECB-80BB-F4A709DCB94C ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Cedar Grove Neighborhood Association Party/Vendor Contact Person: Sue Florence Contact Phone: 919-218-6745 Party/Vendor Address: 5800 NC 86 City Hillsborough State: NC Zip: 27231 Department: COUNTYMGR/Arts Commision Amount: 1500.00 Purpose: Fall 2016 Arts Grants Budget Code(s): 37601020 683001 Vendor # 64072 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 1/17/2017 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature ram A&L t.t, Date: 0A3E81 B12B364B4... Information Technologies (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 insurance standards, specifications,and requirements: DocuSigned by: 11i1 Office of the Risk Management Office atSa Crv�16 Date/6/2017 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer ('1 0 Date: 2/6/2017 7D4E5181 ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorne _km,_ Date:2/6/2017 4035CB83D4CA4A9... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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: 6 Revised January 2017