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DocuSign Envelope ID:6E995509-17D0-4E3E-A860-3EC4AF84180C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle Youth Ballet Party/Vendor Contact Person: Lauren Lorentz de Haas Contact Phone: <br /> 9194280150 Party/Vendor Address: 1708 E Franklin St City Chapel Hill State: NC Zip: 27514 Department: Cnty <br /> Mngr Amount: $5,000 Purpose: Arts Operations Support Grant Budget Code(s): 37601020-683010 Vendor <br /> #62872 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda 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 /> Lr <br /> gned by: <br /> s �1�' 11/12/2020 <br /> Department Director's Signature Date: <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 sufficienclr&,slTMOO <br /> *1&%�standards,specifications,and requirements: <br /> rbvv� ff6 11/12/2020 <br /> Office of the Risk Management Officer Date: <br /> --- <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 /> 11/13/2020 <br /> Office of the Chief Financial Officer 7D4Es,a1Acc1409... Date: <br /> Legal Services <br /> This agreement is approved as to gaP"TRY:sufficiency: <br /> hou— 11/18/2020 <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 /> 6 <br /> Revised October 2020 <br />