Orange County NC Website
DocuSign Envelope ID:531E76BB-918E-4398-AD14-7C82FB29D25E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: La Notica Party/Vendor Contact Person: Hilda Gurdian Contact Phone: 704-568-6966 <br /> Party/Vendor Address: 5936 Monroe Rd. City Charlotte State: NC Zip: 28212 Department: Human Rights & <br /> Relations Amount: $800.00 Purpose: Provider will run and display two (2)banner ads daily across all demo at a hics <br /> for two thirty (30) dgyperiods. Budget Code(s): 30460020-790009-71300 Vendor # 61267 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date Approved by Board Yes❑No❑ Agenda Date:November 1,2020 <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 /> �Do�c�u}SSig�ned by: <br /> Department Director's Signature F ' "" hw— Date: 10/23/2020 <br /> Agreements for emergency services or repair are not su ject 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 sufficiency of insurance &ppciifications,and requirements: <br /> Office of the Risk Management Officer Q�tSa rbvv�.tlib Date: 10/26/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner re 'h cby *ocal Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 10/27/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and suff iQjusigned by: <br /> alp ktt, Awit, 't�S(0 10/27/2020 <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 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 />