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DocuSign Envelope ID:7CEDDAD8-C193-4F99-B5D3-B22F6EBF4B15 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The ArtsCenter Party/Vendor Contact Person: Daniel Mayer Contact Phone: 919-929-2787 <br /> Party/Vendor Address: 300-G East Main St City Carrboro State: NC Zip: 27510 Department: CNTYMGR/Arts <br /> Commision Amount: 5000.00 Purpose: Title 1 Arts in Education Program Budget Code(s): 37601020 683000) <br /> Vendor# 800036 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date date of Manager's signature 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 Signature ThW1S Au Date: 4/28/2017 <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 /> r---q-DocuSigned"by: <br /> ' <br /> Office of the Risk Management Officer <br /> UtsA. CortAe-th Date: 4/30/2017 <br /> ``,. 7 FDC F9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Office C'1 444 ' Date: 5/2/2017 <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 Attorney kiv . Date: 5/2/2017 <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 /> Revised 2/17 5 <br />