Orange County NC Website
DocuSign Envelope ID: 743615FF -B734- 4099 - BDOD- DC5DCA433OD8 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Seawell Elementary School Party/Vendor Contact Person: Arrica DuBose Contact Phone: <br />9199674343 Party/Vendor Address: 9115 Seawell School Rd City Chapel Hill State: NC Zip: 27516 Department: <br />COUNTYMGR/Arts Commission Amount: $983 Purpose: 2018 -19 Arts Grants Budget Code(s): 37601020- <br />683000 Vendor # 55022 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br />(Check one) New ® Renewal ❑ Amendment ❑ Effective Date 8/8/2018 Approved by Board Yes❑ No❑ <br />Agenda Date: <br />This agreement is approved as to to ' oFo�usi9neddRby: ' <br />Department Director's Signature 110AK81B128364M ... <br />,nt: <br />Information Technologies <br />Date: 8/13/2018 <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency-, "oocu5igned by: +-- A-irds, specifications, and requirements: <br />QuS& (,lrVln.l 6 8/22/2018 <br />Office of the Risk Management Office Date. <br />.8/22/2018 <br />Financial Services <br />This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: DocuSigned by: <br />Office of the Chief Financial Office Lr7NE5181ACC1409 <br />Date: 8/22/2018 <br />... <br />Legal Services <br />This agreement is approved as t. Docusigned ay: �ncy: <br />Office of the County Attorney `'° - Date: 8/22/2018 <br />4035CB8304CA4M... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydkorangecouMnc.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 <br />6 <br />Revised July 2018 <br />Date: <br />