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DocuSign Envelope ID: B5E8D914-BDFF-494A-A24E-A56EFFD3078E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Emma Nadeau Party/Vendor Contact Person: Emma Nadeau Contact Phone: 9196247316 <br /> Party/Vendor Address: 123 High Hickory Rd City Chapel Hill State: NC Zip: 27516 Department: <br /> COUNTYMGR/Arts Commission Amount: 1436.93 Purpose: 2019-20 Arts Grants Budget Code(s): 37601020- <br /> 683001 Vendor# 65816 (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 /> �U"ocu Sig ned by: <br /> Department Director's Sig naturCIOAK81BUB364M <br /> Datc: 10/10/2019 <br /> . <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 aUS& 60 A6 Date: 10/10/2019 <br /> 7FOCF91788004g8. <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 � 4 � Date. 10/10/2019 <br /> C7NE5181A=400. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> OocuSigned by: <br /> Office of the County Attorney ��,�� tv,,_ Date: 10/15/2019 <br /> 4035CB8304CA4Ae <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydCa 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 />