Orange County NC Website
DocuSign Envelope ID:C4DAF5FC-8B52-4557-B62F-2082B23CDD20 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor <br /> endor Name:E.sIChapel H1l Party/Vendor <br /> endor Contact Person:Ryan Ellefsen Contact Phone:919 969-2482 Party/Vendor Address: <br /> 500 Weaver Dairy Rd City Chapel Hill State: NC Zip:27514 Department: COUNTYMGR/Arts Commission Amount: $400 <br /> Purpose:2020-21 Arts Grants Budget Code(s): 37601020-683000 Vendor# 37560 (N/A if new vendor)Vendor <br /> is a BOCC consultant?Yes❑ No❑ Contract Type: (Check one)New® Renewal ❑Amendment ❑ Effective <br /> Date 11-30-2020 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to techntc.4twbpd content: <br /> Department Director's Signatur COME81B12B364134 <br /> ravis run, Date: 11/30/2020 <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 Officer PCs& rbVlnd,{fb Date: 11/30/2020 <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: DocuSigned by: <br /> 111� 121112020 <br /> Office of the Chief Financial Officer Er Cq Date: <br /> 7D4E5181ACC1409... <br /> Leval Services <br /> This agreement is approved as to le al form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorney Date: 12/2/2020 <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.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 />