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DocuSign Envelope ID:9CBAA6B1-266B-4426-BDCC-20AAE9B937EF <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Town of Chapel Hill Parks&Recreation Department Party/Vendor Contact Person: Jim Orr <br /> Contact Phone: 919-968-2750 Party/Vendor Address: 200 Plant Rd. City Chapel Hill State: NC Zip: 27514 <br /> Department: COUNTYMGR/Arts Commission Amount: 2265.00 Purpose: 2017-18 Arts Grants Budget Code(s): <br /> 37601020-683001 Vendor#33928 (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 Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature " Date: 8/23/2017 <br /> OA3E81 812636484... <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: 11LL <br /> Office of the Risk Management Officer CMS& (,bVtkL t0 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 eqt ‘6°'"I'-''''' Date: 8/25/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to le al form and sufficiency: <br /> ocuSigned by: <br /> atn In t, (t.ay'ic, 1SCb 9/5/2017 <br /> Office of the County Attorney 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(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 />