HomeMy WebLinkAboutR 2015-645-E Arts - Tinka Jordy - Fall 2015 Arts Grant Agreement DocuSign Envelope ID:2BCB9E38-66BF-4CDC-9DC6-BC467846C8CA
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Tinka Jordy Party/Vendor Contact Person: Tinka Jordy Contact Phone: 919/757-2181
Party/Vendor Address: 1902 Borland Road City Hillsborough State: NC Zip: 27278 Department: EDC - Arts
Commission Amount: $1,000 Purpose:Fall 2015 Arts Grant Award Budget Code(s):37601020 683001 Vendor#
59537 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one)New IZI
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 Si nature Sicvc $�axf � Date:
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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:.
p DocuSigned by:
Office of the Risk Management Officer QLSo (bVIAA-lifb Date: 12/26/2015
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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 ( Aa Date: 12/28/2015
S7D4E5181ACC1409...
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 . .;mot M I,«,
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