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DocuSign Envelope ID: F25D1363-3C80-4EO5-BE2E-2AOE4504F292 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The Village Band of Chapel Hill and Carrboro Party/Vendor Contact Person: Rebecca Smith <br /> Contact Phone: 9192800671 Party/Vendor Address: 2017 Windhover Rd City Chapel Hill State: NC Zip: 27514 <br /> Department: COUNTYMGR/Arts Commission Amount: 350.91 Purpose: 2019-20 Arts Grants Budget Code(s): <br /> 37601020-683000 Vendor#49338 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract <br /> Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 10/1/19 Approved by Board Yes❑No <br /> ❑ Agenda Date: <br /> This agreement is approved as to to �D^ocu5igned by: ;nt: <br /> l�'�5 �� 10/1/2019 <br /> Department Director's Signature OAK81BUB3B4N . 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 /> Wcu5igrneed_by: <br /> . <br /> Office of the Risk Management Officer 9US66 (" 6 Date:10/2/2019 <br /> 7FDCF9176800498. <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 Officer Date: 10/2/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as t ' DocuSigned by:' ' ;ncy: <br /> Office of the County AttorneZ_4035CB8'304C'A4M�kf 4,0'`- Date: 10/2/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydC&oran eg countync.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 /> 6 <br /> Revised July 2018 <br />