HomeMy WebLinkAboutR 2015-652-E Arts - Gravelly Hill Middle School - Fall 2015 Arts Grant Agreement DocuSign Envelope ID:7C75BF92-8D1F-4CCA-8FF3-53F903D1C845
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Gravelly Hill Middle School Party/Vendor Contact Person: Tracy Thomas Contact Phone:
919/245-4050 Party/Vendor Address: 4801 West Ten Road City Ef land State:NC Zip: 27243 Department:EDC
- Arts Commission Amount: $505 Purpose: Fall 2015 Arts Grant Award Budget Code(s): 37601020 683001
Vendor# 178 (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[Z]No❑ Agenda Date: approval of FY16 county budget by BOCC-June 16,2015
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature "� 12/28/2015
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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:'���.�..
Office of the Risk Management Officer
QUSA, Cm/ watt Date: 12/28/2015
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Financial Services
This instrument has been pre-audited in the manner required by the Local Govermnent Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer � a 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