HomeMy WebLinkAboutR 2017-058-E Arts - Cedar Grove Neighborhood Association - Fall 2016 Arts Grant Agreement DocuSign Envelope ID: CCBBE1A9-7380-4ECB-80BB-F4A709DCB94C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Cedar Grove Neighborhood Association Party/Vendor Contact Person: Sue Florence Contact
Phone: 919-218-6745 Party/Vendor Address: 5800 NC 86 City Hillsborough State: NC Zip: 27231 Department:
COUNTYMGR/Arts Commision Amount: 1500.00 Purpose: Fall 2016 Arts Grants Budget Code(s): 37601020
683001 Vendor # 64072 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type:
(Check one)New® Renewal❑ Amendment ❑ Effective Date 1/17/2017 Approved by Board Yes❑ No❑
Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature ram A&L t.t, 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: 11i1
Office of the Risk Management Office atSa Crv�16 Date/6/2017
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 Date: 2/6/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorne _km,_ Date:2/6/2017
4035CB83D4CA4A9...
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