HomeMy WebLinkAboutR 2017-154-E Arts - Mark Elliott - ARTS FOR ANIMALS Public Art Project DocuSign Envelope ID:B7AD4BB0-0F90-476C-9970-303BC301A3B8
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Mark Elliott Party/Vendor Contact Person: Mark Elliott Contact Phone: 301-706-4585
Party/Vendor Address: 191 Riverbend Rd City Siler City State: NC Zip: 27344 Department: CNTYMGR/Arts
Commision Amount: 5000.00 Purpose: Art for Animals Public Art Project Budget Code(s): $2240 from 37601020
683000 (OCAC) and $2760 from 10215030-803000 (OC Animal Services) Vendor # 64440 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date date of Manager's signature Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signatur Curls Ait-G/1 -14, Date: 5/1/2017
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:
[(USX by:
Office of the Risk Management Office [(USX C,bV'I�t,th Date: 5/2/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the omcu igned anner by required by the Local Government Budget and Fiscal Control Act:
:
Office of the Chief Financial Office rI °" �°"L Date: 5/8/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorne
yc
4 kiv . Date: 5/8/2017
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:
Revised 2/17 5