HomeMy WebLinkAboutR 2017-110-E ES - Event Center for venue rental for Active Shoot Incident training DocuSign Envelope ID:3B5E78D3-FFF7-4007-AF36-1CAECE97A85F
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Event Center Party/Vendor Contact Person: Cyndi Whisnant Contact Phone: 919-928-5718
Party/Vendor Address: 200 S. Elliott Road City Chapel Hill State: NC Zip: 27514 Department: Emergency Services
Amount: $2,400.00 Purpose: Venue Rental for Active Shooter Incident Management Course Budget Code(s): 30750020-
629000-71049 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type:
(Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes No Agenda
Date:
This agreement is approved as to technical form and content:
DocuSigned by
C i
Department Director's Signature it'f frit'S
Date: 2/28/2017
565560891 A64473...
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:
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
r—DocuSigned by:
(21 An.doloot, 3/8/2017
Office of the Chief Financial Officer Date:
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Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by
Office of the County Attorney ._>, Date: 3/8/2017
4035CB8304 CA4A9...
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:
Page 6 of 5 Event Host's Initials: Event Center Director's Initials:_CW__