Orange County NC Website
Browse       Search
DocuSign Envelope ID:3B5E78D3-FFF7-4007-AF36-1CAECE97A85F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Event Center Party/Vendor Contact Person: Cyndi Whisnant Contact Phone: 919-928-5718 <br /> Party/Vendor Address: 200 S. Elliott Road City Chapel Hill State: NC Zip: 27514 Department: Emergency Services <br /> Amount: $2,400.00 Purpose: Venue Rental for Active Shooter Incident Management Course Budget Code(s): 30750020- <br /> 629000-71049 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes No Agenda <br /> Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by <br /> C i <br /> Department Director's Signature it'f frit'S <br /> Date: 2/28/2017 <br /> 565560891 A64473... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as <br /> 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 /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> r—DocuSigned by: <br /> (21 An.doloot, 3/8/2017 <br /> Office of the Chief Financial Officer Date: <br /> 7D«,o fCC940 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by <br /> Office of the County Attorney ._>, Date: 3/8/2017 <br /> 4035CB8304 CA4A9... <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 /> Page 6 of 5 Event Host's Initials: Event Center Director's Initials:_CW__ <br />