Orange County NC Website
DocuSign Envelope ID:AF1 B9888-EC74-4806-AFBC-CD9FA67BA71 E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Laura Casey Party/Vendor Contact Person: Laura Casey Contact Phone: 919.357.0480 <br /> Party/Vendor Address: 2451 Sed,gefield Drive City Chapel Hill State: NC Zip: 27514 Department: DEAPR- <br /> Recreation Amount: $1550.00 Purpose: Creative Arts Instruction Budget Code(s): 10511020 630000 Vendor# <br /> 59863 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ <br /> Renewal ❑ Amendment ® Effective Date March 16, 2020 Approved by Board Yes❑ No® Agenda <br /> Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> q�DocuSigned by: <br /> nature <br /> yl � �fC 3/17/2020 <br /> Department Director's Sig Date: <br /> StiCFA1D507A495... <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 <br /> was 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 sufficienc, f 6ocusigned by: 'ds,specifications,and requirements: <br /> Q�Sa �,DV1n.��b 3/17/2020 <br /> Office of the Risk Management Officer_ 7FDCF0176800408... Date: <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 /> t r 4 3/17/2020 <br /> Office of the Chief Financial Officer 7❑aE51a1ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as t, �DocuSigned by: :1ciency: <br /> Office of the County Attorney EAA3o33EoaAaas5_._ Date: 3/18/2020 <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 11/19 LE <br />