HomeMy WebLinkAboutR 2017-079-E Arts - Cedar Ridge High School - Fall 2016 Arts Grant Agreement DocuSign Envelope ID: EC417424-B3E6-4014-A465-9859A57DDD04
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Cedar Ridge High School Party/Vendor Contact Person: Heather Blackmon Contact Phone:
919-245-4000 Party/Vendor Address: 1125 New Grady Brown School Rd. City Hillsborough State: NC Zip:
27278 Department: COUNTYMGR/Arts Commision Amount: 1000.00 Purpose: Fall 2016 Arts Grants Budget
Code(s): 37601020 683001 Vendor#49340 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑Non
Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 1/17/2017 Approved by Board
Yes❑Non Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director'sSignatur e LIhWtS A 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:
DocuSiggned""by:''
Office of the Risk Management Office QtSX �,Orvu,�111i1
6 Date: 2/9/2017
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 Office (21'/ 'Ati' Date: 2/10/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorne
E.
_k Date: 2/15/2017
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