Orange County NC Website
DocuSign Envelope ID:0E0892A5-AB8C-4E61-8B53-2125B8922B1 C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Kidzu Children's Museum Party/Vendor Contact Person: Lisa Van Deman Contact Phone: <br /> 919-933-1455 Party/Vendor Address: 201 South Estes Drive Suite A9 City Chapel Hill State: NC Zip: 27514 <br /> Department:Finance &Administrative Services Amount: 10460 Purpose: FY 2017-18 Outside Agency Performance <br /> Agreement Budget Code(s): 10695050720274 Vendor # 800388 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical ieron•.nt: <br /> 0 .i 10/10/2017 <br /> Department Director's Signature Date: <br /> 64€51-81/cee1-409... <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 in ee4tentlaTds,specifications,and requirements: <br /> QVASA. (bVtA. ttb 11/13/2017 <br /> Office of the Risk Management Officer ZEnCPci1_7RRn04g8 Date: <br /> Financial Services <br /> This instrument has been pre-audited in the ma er°19etitiPft Ibtiq the Local Government Budget and Fiscal Control Act: <br /> (9q0„./6A 0 .i 10/10/2017 <br /> Office of the Chief Financial Officer 7D4E5191ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as to legal form C9i 11O: <br /> ittAIAL A4441t 1 SCb 11/13/2017 <br /> Office of the County Attorney 079AADsscr1E4.EB._ Date: <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 /> (Kidzu Children's Museum) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />