Orange County NC Website
DocuSign Envelope ID:DDA1623E-FEA2-4FED-A473-17044A283D43 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Renzo Ortega Party/Vendor Contact Person: Renza Ortega Contact Phone: 616-884-4701 <br /> Party/Vendor Address: 400 Davie Rd.#56 City Carrboro State: NC Zip: 27510 Department: COUNTYMGR/Arts <br /> Commission Amount: 1500.00 Purpose: 2017-18 Arts Grants Budget Code(s): 37601020-683001 Vendor#64702 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date 8/17/2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to technicaalsfo errand content: <br /> Department Director's Signatur trtA rt'A' 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 Q�Sa C,bv we 116 Date: 8/29/2017 <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 8/29/2017 <br /> ��p ona,�am Date: <br /> \.---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorne ah.btA, hark. 1SCb 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 />