HomeMy WebLinkAboutR 2017-071-E Arts - Carrboro Elementary School - Fall 2016 Arts Grant Agreement DocuSign Envelope ID:06711178-0E3F-4541-A834-A91 FC422F4D1
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carrboro Elementary School Party/Vendor Contact Person: Jillian LaSerna Contact Phone:
919-968-3652 Party/Vendor Address: 400 Shelton St. City Carrboro State: NC Zip: 27510 Department:
COUNTYMGR/Arts Commision Amount: 1000.00 Purpose: Fall 2016 Arts Grants Budget Code(s): 37601020
683001 Vendor# 55897 (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 Signatu r[i1W1S "' 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:
/I DocuSigned by:
Office of the Risk Management Offic a�Sa. Co b 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 Office rIA,1641 Art.4 Date: 2/8/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
y �, Date: 2/9/2017
Office of the County Attorne
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