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DocuSign Envelope ID: DED368CC-D87F-4704-8F64-B8F2DB10EE93 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Donn Young Party/Vendor Contact Person: Donn Young Contact Phone: 504-606-4254 <br /> Party/Vendor Address: 2127 Doar Rd. City Chapel Hill State: NC Zip: 27514 Department: COUNTYMGR/Arts <br /> Commission Amount: 1500.00 Purpose:2017-18 Arts Grants Budget Code(s): 37601020-683001 Vendor#64706 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date 8/17/2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to technical fonremd band content: <br /> Department Director's Signatur le"'s "' Date: 8/23/2017 <br /> 0A3E61 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 /> ''111L <br /> Office of the Risk Management Office aLlSa �,bvvut0 Date: 8/24/2017 <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 Officer ('q 0° 1.1 Date: 8/25/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorne <br /> Cit <br /> KAAL t.. 1 SCb Date: 9/5/2017 <br /> 079A4D525C0F4FB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a)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 August 2017 <br />