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DocuSign Envelope ID: EC417424-B3E6-4014-A465-9859A57DDD04 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Cedar Ridge High School Party/Vendor Contact Person: Heather Blackmon Contact Phone: <br /> 919-245-4000 Party/Vendor Address: 1125 New Grady Brown School Rd. City Hillsborough State: NC Zip: <br /> 27278 Department: COUNTYMGR/Arts Commision Amount: 1000.00 Purpose: Fall 2016 Arts Grants Budget <br /> Code(s): 37601020 683001 Vendor#49340 (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 and content: <br /> DocuSigned by: <br /> Department Director'sSignatur e LIhWtS A 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 /> DocuSiggned""by:'' <br /> Office of the Risk Management Office QtSX �,Orvu,�111i1 <br /> 6 Date: 2/9/2017 <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 (21'/ 'Ati' Date: 2/10/2017 <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 /> E. <br /> _k Date: 2/15/2017 <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 />