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DocuSign Envelope ID:OAOD279A-9654-4BC8-89E9-8B5D1452BAEF <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The Arts Center, Inc.Party/Vendor Contact Person: Daniel Mayer Contact Phone: 919-929- <br /> 2787 Party/Vendor Address: 300-G E. Main Street City Carrboro State: NC Zip: 27510 Department: Health <br /> Amount: ILL 459Purpose: Provide K Ready Camp Entrichment Programming Budget Code(s): 10412020-630000- <br /> 71453Vendor#22226 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No ® Contract Type: (Check <br /> one)New ❑ Renewal X Amendment ❑ Effective Date 6-1-19 Approved by Board Yes❑ No❑ Agenda <br /> 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 /> S�-Wof 4/4/2019 <br /> Department Director's Signature_ aC1sF2D0sEsaa5F. Date: <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 <br /> was 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 sufficienc oocuSigned by: rds, specifications,and requirements: <br /> ��sa �AVln.fr�b 4/4/2019 <br /> Office of the Risk Management Officer 7FDCF91768004M. Date: <br /> Financial Services <br /> This instrument has been pre-audited in Docusigned by: he Local Government Budget and Fiscal Control Act: <br /> 4/5/2019 <br /> Office of the Chief Financial Officer Date: <br /> - 704E5981ACCt409. <br /> Legal Services <br /> This agreement is approved as t D"uSigned by: <br /> §WAS' �I' 1 4/5/2019 <br /> Office of the County Attorney 079A4D525C0F4FB. 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 /> Page 7 of 6 <br /> Revised 212019 <br />