2017-446-E Arts - Dawn Hummer - 2017-18 Arts Grant Agreement

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DocuSign Envelope ID:70E97245-CBDE-4A68-90A8-9FB875F7C092 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Dawn Hummer Party/Vendor Contact Person: Dawn Hummer Contact Phone: 512-924-1136 Party/Vendor Address: 837 Kenmore Rd. City Chapel Hill State: NC Zip: 27514 Department: COUNTYMGR/Arts Commission Amount: 1500.00 Purpose: 2017-18 Arts Grants Budget Code(s): 37601020- 683001 Vendor# 64415 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 8/17/2017 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature tra\uS ItiuiruA, Date: 8/23/2017 0A3E81B12B364B4... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: /I DocuSigned by: Office of the Risk Management Office QUSX C,bV'I�t,t,{tb Date: 8/24/2017 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: ,---DocuSigned by: Office of the Chief Financial Officer (16 A" .A.x. Date: 8/25/2017 7D4E5181ACC1409... Legal Services This agreement is approved as tocle-gtaefouxicood sufficiency: Office of the County Attorney ahbt�, � SCb Date: 9/5/2017 '—079A4D525C0F4FB... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: 6 Revised August 2017