Orange County NC Website
DocuSign Envelope ID: F4BF3F1F -FFD4- 4116- 950E- 9A51DBFB90B1 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Paperhand Puppet Intervention Party/Vendor Contact Person: Donovan Zimmerman Contact <br />Phone: 919 - 489 -0900 Party/Vendor Address: 6530 Whitney Rd City Graham State: NC Zip: 27253 Department: <br />County Manager Amount: $1200 Purpose: Puppet Theater Budget Code(s): 34600020 900057 Vendor # 65112 <br />(N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New E <br />Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to technical form and content: <br />OocuSigned by: <br />Department Director's Signature l mmS i't , Date: 8/22/2018 <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />DocuSigned by: <br />Office of the Risk Management Officer 9US& C,bVln.t& Date: 8/23/2018 <br />7F6CF917E800438... <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 <br />101.411� Date: 8/23/2018 <br />7NE5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />UocuSigned bY: <br />Office of the County Attorney ,�66A, �'b�C '6 Date: 8/24/2018 <br />EAAM33EM8AW5... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg sollgorangecountync.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 />LF2018 v.1. <br />7 <br />Date: <br />