HomeMy WebLinkAboutR 2015-644-E Arts - Susie Wilde - Fall 2015 Arts Grant Agreement DocuSign Envelope ID:883AB84D-78B1-4041-BOEF-BE6A942205E0
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Susie Wilde Party/Vendor Contact Person: Susie Wilde Contact Phone: 919/932-3300
Party/Vendor Address: 7400 Talbryn Way City Chapel Hill State: NC Zip: 27516 Department: EDC - Arts
Commission Amount:$1,000 Purpose:Fall 2015 Arts Grant Award Budget Code(s): 37601020 683001 Vendor#
46154 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one)New El
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 technical form and content:
p DocuSigned by:
12/21/2015
Department Director's Signature Sitvc $�axl � Date:
--37BD4EFAC1 BE410...
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:
p DocuSigned""by:
''��.�..
Office of the Risk Management Officer QLSa, cm/wat& Date: 12/26/2015
°"° 7FDCF9178800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
12/28/2015
Office of the Chief Financial Office c Aa Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date: 12/28/2015
Y Y _ �..t 9 L„�..
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