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DocuSign Envelope ID:25B97CDA-7A0C-4ED5-BCD8-9873F30CBE31 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: New Hope Elementary Party/Vendor Contact Person: Lisa Napp Contact Phone: 919-942- <br /> 9696 Party/Vendor Address: 1900 New Hope Church Rd City Hillsborough State: NC Zip: 27514 Department: <br /> COUNTYMGR/Arts Commision Amount: 5000.00 Purpose: Fall 2016 Arts Grants Budget Code(s): 37601020 <br /> 683001 Vendor# 32752 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one)New® Renewal ❑ Amendment ® Effective Date 1/17/2017 Approved by Board Yes No <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signatur tr Date: <br /> 0A3E81B12B364B4... <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 /> q DocuSigned"by: <br /> Office of the Risk Management Office USX �,br�tL{fb <br /> a b Date: 2/2/2017 <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 (1 4441.°6"."- Date: 2/8/2017 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to leal form and sufficiency: <br /> ocuSigned by: <br /> y �, Date: 2/9/2017 <br /> Office of the County Attorne <br /> 4035CB8304CA4A9... <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 />