Orange County NC Website
Browse       Search
DocuSign Envelope ID: 1BF58F80-D1B3-4C7A-BBBC-42D02CE07015 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Wildly Impressive Entertainment Party/Vendor Contact Person: Nico Wild Contact Phone: <br /> (800) 972-1922 Party/Vendor Address: 237 s Winstead Ave #G1 City Rocky Mount State: NC Zip: 27804 <br /> Department: DEAPR-Recreation Division Amount: $1,200.00 Purpose: Halloween Spooktacular face painting and <br /> magic Budget Code(s): 10511020 630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑No❑ Contract Type: (Check one)New❑ Renewal ❑ Amendment ❑ Effective Date Approved by <br /> Board Yes❑No❑ Agenda Date: October 26,2019 <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 /> Department Director's Signature1P,,,,_FA1,,,7A4,,__ <br /> awl gawa Date: 10/10/2019 <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 was <br /> 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 sufficient DocuSigppned_by: <br /> . rds,specifications,and requirements: <br /> aUsa LQ 6 10/11/2019 <br /> Office of the Risk Management Office Datc: <br /> 7FDCF9178800495. <br /> Financial Services <br /> This instrument has been pre-audited in DocuSigned by: :he Local Government Budget and Fiscal Control Act: <br /> ('� 0 <br /> Office of the Chief Financial Officer Date: 10/11/2019 <br /> - 704E51S1ACC1409. — - <br /> Legal Services <br /> This agreement is approved as tc DocuSigned by: iciency: <br /> Office of the County Attorney Date: 10 11 2019 <br /> EAA3033E08AE4S5.. <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 4 <br /> P Ds <br /> CS <br />