Orange County NC Website
Browse       Search
Revised 10/17 <br />8 <br />ORANGE COUNTY²DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: National CineMedia, LLC. Party/Vendor Contact Person: Meg Hill Contact Phone: 803-631- <br />5553 Party/Vendor Address: 6300 S. Syracuse Way, Suite 200 City Centennial State: CO Zip: 80111 <br />Department: Health Amount: $7827.14 Purpose: Place one (1) thirty second Quitline ad in theatre Budget Code(s): <br />10412020-600000-71459 Vendor # 55948 (N/A if new vendor) Vendor is a BOCC consultant? Yes No <br />Contract Type: (Check one) New Renewal Amendment Effective Date 1-4-19 Approved by Board <br />Yes No Agenda Date: <br />This agreement is approved as to technical form and content: <br /> <br />'HSDUWPHQW'LUHFWRU¶V6LJQDWXUH ________________________________________ Date: ________ <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 />Office of the Risk Management Officer___________________________________ Date: _________ <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 />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 />DocuSign Envelope ID: 42F2FA62-4D8F-4F99-B725-8D400772FB8A <br /> <br /> <br /> <br />