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DocuSign Envelope ID:5BFAEBD1-7F8A-4lE4-A751-CEF529B04A20 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Jedd Tyler Party/Vendor Contact Person: Jedd Tle Contact Phone: 9193604282 <br /> Party/Vendor Address: 111 Prince St. City Carrboro State: NC Zip: 27510 Department: COUNTYMGR/Arts <br /> Commission Amount: 1150.56 Purpose: 2019-20 Arts Grants Budget Code(s): 37601020-683001 Vendor#65819 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 10/1/19 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Docusigned by: 10/1/2 019 <br /> Department Director's Signature �aW5 �y� Date: <br /> 10AK81BUB364N . <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 /> DocuSigned by: <br /> Office of the Risk Management Office US66 (��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: <br /> DocuSigned by: <br /> Office of the Chief Financial Office lr <br /> Date: 10/2/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D �,O ocusigned by: <br /> 10/2/2019 <br /> Office of the County Attorne �� Date: <br /> 4035CB8304CA4M <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran eg count nc.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 />