Orange County NC Website
DocuSign Envelope ID:064C3581-161B-4374-92AC-D04DA5B22DFB <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Audio Video One Party/Vendor Contact Person: Rich Dlesk Contact Phone: 919-338-0921 <br /> Party/Vendor Address: 510 Meadowmont Village Circle Suite 281 City Chapel Hill State: NC Zip: 27517 <br /> Department: Animal Services Amount: 6706.16 Purpose: Musical Enrichment Budget Code(s): 10215030 800000 <br /> Vendor#65127 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 04/04/19 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> 66 6�.OW6 4/10/2019 <br /> Department Director's Signature Date: <br /> c9e58115e7DD482... <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 Technoloiies <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 /> floriiFignrl by <br /> Office of the Risk Management Office L <br /> Use, bn't& Date:4/10/2019 <br /> 7FOC=997C­0498 <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 � Date:4/10/2019 <br /> 7NE5181ACC1409. <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> o cusgnca on <br /> ,,t4k c s� <br /> Office of the County Attorney Date:4/10/2019 <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 <br /> 8 <br />