HomeMy WebLinkAboutR 2015-642-E Arts - Phillips Middle School PTSA - Fall 2015 Arts Grant Agreement DocuSign Envelope ID:7A5AB4B8-9295-41 DD-B32B-3611 F7D2116C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Phillips Middle School PTSA Party/Vendor Contact Person: Elizabeth Welsby Contact
Phone: 919/929-2188 Party/Vendor Address: 606 N. Estes Drive City Chapel Hill State: NC Zip: 27514
Department: EDC - Arts Commission Amount: $988 Purpose: Fall 2015 Arts Grant Award Budget Code(s):
37601020 683001 Vendor # 49341 (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 Non Agenda Date: approval of FY16 county budget by BOCC -June
16,2015
This agreement is approved as to technical form and content:
c----DocuSigned by:
Department Director's Signature $ .vc $4444lc,, Date: 12/22/2015
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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 of insurance standards,specifications,and requirements:
DocuSigned"by:
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Office of the Risk Management Officer QLSo cm watt Date: 12/22/2015
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer (1,,, Date: 12/28/2015
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Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney � �, Date: 12/28/2015
4
4035CB8304CA4A9
to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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