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DocuSign Envelope ID:955CF8D2-2C10-4E40-BC25-542ECC04AE02 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Franklin Street Arts Collective Party/Vendor Contact Person: Gordon Jameson Contact <br /> Phone: 919636-4135 Party/Vendor Address: 109 E. Franklin St. City Chapel Hill State: NC Zip: 27514 <br /> Department: COUNTYMGR/Arts Commision Amount: 1331.00 Purpose: Fall 2016 Arts Grants Budget Code(s): <br /> 37601020 683001 Vendor#52739 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑Non Contract <br /> Type: (Check one)New❑ Renewal El Amendment El Effective Date 1/17/2017 Approved by Board Yes❑ <br /> Non Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signatur t m A&L t.t, 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 at SL (VY,U*& 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 (21'/ Ai-4/-h-'11- Date: 2/8/2017 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorne <br /> y k Date: 2/9/2017 <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 />