HomeMy WebLinkAboutR 2017-034-E Arts - Mary Scroggs Elementary PTA - Fall 2016 Arts Grant Agreement DocuSign Envelope ID:8098AFC6-0436-4DCB-B911-252527D 189DE
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Mary Scroggs Elementary PTA Party/Vendor Contact Person: Lynn Hirsch Contact Phone:
919-918-7165 Party/Vendor Address: 501 Kildaire Rd. City Chapel Hill State: NC Zip: 27516 Department:
COUNTYMGR/Arts Commision Amount: 600.00 Purpose: Fall 2016 Arts Grants Budget Code(s): 37601020
683001 Vendor # 64272 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type:
(Check one)New® Renewal❑ Amendment ❑ Effective Date 1/19/2017 Approved by Board Yes❑ No❑
Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signatur l'V'a\uS Date:
0A3E81 B12B364B4...
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 Office atSL (bfr1,U*& Date:
7FDCF9176800498...
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 0..../.6. Date:
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorne h ti Date:
4035CB8304CA4A9...
Clerk 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:
6
Revised January 2017