Orange County NC Website
DocuSign Envelope ID:AD99FE27-E625-45CC-B353-AEE3ADA2F2DA <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Street Signs, Inc. Party/Vendor Contact Person:Elisabeth Lewis Corley Contact Phone: <br /> 919-542-5406 Party/Vendor Address: 204 Harland's Creek Dr. City Pittsboro State:NC Zip: 27312 Department: <br /> COUNTYMGR/Arts Commission Amount: 2,370 Purpose: 2017-18 Arts Grants Budget Code(s): 37601020- <br /> 683000 Vendor#45274 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one)New® Renewal ❑ Amendment ❑ Effective Date 8/17/2017 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 <br /> travz ki UA, Date: 8/23/2017 <br /> 0A3E81B12B364B4... <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----DocuSigned"by: <br /> ' <br /> Office of the Risk Management Officer <br /> aus Cbvvi-th Date: 8/25/2017 <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 rI Art-414 Date: 8/25/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to le a1 form and sufficiency: <br /> ocuSigneend""by: <br /> ''���� <br /> a hark, fibSCb 9/5/2017 <br /> Office of the County Attorne Date: <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 @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 />