HomeMy WebLinkAboutR 2016-601-E Finance - Public Gallery of Carrboro - Outside Agency Performance Agreement DocuSign Envelope ID: E9553E7D-3748-4C37-A9D7-602D42934ACC
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Public Gallery of Carrboro,DBA WCOM-LP Radio Party/Vendor Contact Person: Art Menius
Contact Phone: 919-675-2787 Party/Vendor Address: 300-G East Main Street City Carrboro State: NC Zip: 27510
Department:Finance&Administrative Services Amount: 1000 Purpose: Outside Agencies Funding Budget Code(s):
10695050-720273 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type:
(Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes[] No❑
Agenda Date: 6/21/16
This agreement is approved as to technical forma Wf& !ed by:
Department Director's Signature t� nnG�, Date:
Information Technolo0es
(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 insur �d > b�5pecifications,and requirements:
Q�Sa COV'ln,t,{fb
Office of the Risk Management Officer �FOCFS,�ssoo4s8... Date:
Financial Services
This instrument has been pre-audited in the manner equ'F6ff y111�Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
naFS�ginrr�anq
Legal Services
This agreement is approved as to legal form and sur Li
ea by
Office of the County Attorney by: Date:M.
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.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:
(Public Gallery of Carrboro,DBA WCOM-LP Radio)
Orange County Outside Agency Performance Agreement
Rev. 8116