HomeMy WebLinkAboutR 2015-274-E Arts - SECU Family House at UNC Hospitals for Spring 2015 Arts Grant Agreement DocuSign Envelope ID: EOF5DO34-4BD2-4108-A49B-B7DF76BF3EBB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: SECU Family House at UNC Hospitals Party/Vendor Contact Person: Allison Worthy
Contact Phone: 919/932-8000 Party/Vendor Address: 123 Old Mason Farm Road City Chapel Hill State:NC Zip:
27517 Department: EDC - Arts Commission Amount: $1,500 Purpose: Spring 2015 Arts Grant Award Budget
Code(s): 37601020 683000 Vendor#61718 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No®
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date date of County Manager's
signature Approved by Board Yes® No❑ Agenda Date: approval of FY16 county budget by BOCC -June
16,2015
This agreement is approved as to tec ' a1&r§mmt%d content:
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Department Director's Signature Sic Date: 6/18/2015
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency ' UWAgg%$andards,specifications,and requirements:
Q�ASA. r,6Vlit,t�0
Office of the Risk Management Officer Date: 6/22/2015
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSignne�d�by:
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PM AL [4 D".�61VU
Office of the Chief Financial Officer P Date: 6/22/2015
Legal Services
This agreement is approved as to 6fiWM-afvd sufficiency:
Office of the County Attorney 1 4"J11� Date: 6/23/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg countync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
5
Revised June 2015