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DocuSign Envelope ID:56A5C00E-0F80-4BDF-A1 A7-5530F0DB9396 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Kidzu Children's Museum Party/Vendor Contact Person: Lisa Va Deman Contact Phone: <br /> 919-933-1455 Party/Vendor Address: 201 S. Estes Dr., Suite A-9 City Chapel Hill State: NC Zip: 27516 <br /> Department: COUNTYMGR/Arts Commission Amount: 1484.00 Purpose: 2017-18 Arts Grants Budget Code(s): <br /> 37601020-683000 Vendor#60102 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ No Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 8/17/2017 Approved by Board Yes <br /> No 111 Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> �'�a�u <br /> Department Director's Signature S �. 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 /> DocuSigned"by:'�. <br /> Office of the Risk Management Office iUSX C,bV'I�t,t,{tb 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 Officer (1' '.6.-i-41-6-x- <br /> Date: 8/25/2017 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal farm and sufficiency: <br /> ocuSigneend""by:''���� <br /> ovt.A.YtI, fibSG6 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 />