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<br />September 2021 v0.1 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Franklin Street Arts Collective (DBA FRANK Gallery) Party/Vendor Contact Person: Gabrielle <br />Rousso Contact Phone: 847-980-6740 Party/Vendor Address: B-6, University Place, 201 South Estes Dr. City Chapel <br />Hill State: NC Zip: 27514 Department: County Manager Amount: $5,000.00 Purpose: Restart the Arts Budget <br />Code(s): 49601020-683012-96002 Vendor # 52739 (N/A if new vendor) Vendor is a BOCC consultant? Yes No <br /> Contract Type: (Check one) New Renewal Amendment Effective Date Approved by Board Yes <br /> No Agenda Date: <br /> <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 exec ution of the agreement: <br /> <br /> <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 /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <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 cont racts: <br /> <br />Office of the Clerk to the Board __________________________________________Date:________ <br />DocuSign Envelope ID: 0BAB6BC4-2F5C-4DEE-9934-F018F0E57AEC <br />10/7/2021 <br />10/9/2021 <br />10/12/2021 <br />10/12/2021