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DocuSign Envelope ID: 1DDBOAB7-F8C6-4621-13713C-81D511OECD233 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Annie Taft Party/Vendor Contact Person: Annie Taft Contact Phone: 9194917745 <br /> Party/Vendor Address: 8220 Huntsman Ct City Chapel Hill State: NC Zip: 27516 Department: <br /> COUNTYMGR/Arts Commission Amount: 1491.75 Purpose: 2019-20 Arts Grants Budget Code(s): 37601020- <br /> 683001 Vendor# 65825 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br /> (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 technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature fi S r l�, Date: 10/1/2019 <br /> OA3E81B12B364B4... <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 Officer aura, r,OVLt.t 6 Date: 10/10/2019 <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: cuSigned by: <br /> Office of the Chief Financial OfficerFr;__L Date: 10/10/2019 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to le g1 fpg appd sufficiency: <br /> DocuSigned by. <br /> Office of the County Attorney saves Datc: 10/10/2019 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a oran eg countync. og_v <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 />