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DocuSign Envelope ID:B3B563FD-6D63-4031-A74C-538395FA5A15 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: New Hope Elementary School Party/Vendor Contact Person: Michele Woodson Contact <br /> Phone: 919-942-9696 Party/Vendor Address: 1900 New Hope Church Rd. City Hillsborough State: NC Zip: <br /> 27514 Department: COUNTYMGR/Arts Commission Amount: 7116.00 Purpose: 2017-18 Arts Grants Budget <br /> Code(s): $1,571: 37601020-683000/$5,545 37601020-683001 Vendor#32752 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 8/17/2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to techniauf } d content: <br /> Department Director's Signature l'r"4S 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----DocuSiggned by: <br /> Office of the Risk Management Officer aUSX CortAV to Date: 8/31/2017 <br /> ``,. 7 FDC F9176800498... <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 0,44.zi. Date: 9/1/2017 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to to x,gpd sufficiency: <br /> Office of the County Attorney a1' l' 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 @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 />