Orange County NC Website
DocuSign Envelope ID:OA02DDB2-34BD-41CC-A185-CF2E48C3E3AO <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Linda Booker, Documentary Filmmaker Party/Vendor Contact Person: Linda Booker Contact <br /> Phone: Party/Vendor Address: 5207 Clear Run Drive City Wilmington State: NC Zip: 28403 Department: <br /> Solid Waste Amount: 700.00 Purpose: Sneak at Skip the Straw Events Budget Code(s): 50353010-600000 Vendor# <br /> N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date March 18, 2019 Approved by Board Yes❑ No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature_IK6�� <br /> 8sEBSF843ea04ss .�t�i�s Date:3/19/2019 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <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 - Qocusigned by: - -,,specifications,and requirements: <br /> Office of the Risk Management Officer_[&#. <br /> 7FDCF9176800498.�,DV1n.tr�b Date: 3/19/2019 <br /> Financial Services <br /> This instrument has been pre-audited in ' Docusigned by: he Local Government Budget and Fiscal Control Act: <br /> s�orx.wra 3/2 0/2 019 <br /> Office of the Chief Financial Officer Date: <br /> 7D4E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as t D"USigned by: <br /> ��x- �t, I 3/20/2019 <br /> Office of the County Attorney 07sA4D,25c0F4Fa. 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 /> Revised 12/18 4 <br />