HomeMy WebLinkAboutR 2017-436-E Arts - Marie Rossettie - 2017-18 Arts Grant Agreement DocuSign Envelope ID:66E45008-FB1D-4049-B8DE-1C00A1D64C3E
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Marie Rossettie Party/Vendor Contact Person: Marie Rossettie Contact Phone: 919-590-
5853 Party/Vendor Address: 1439 Smith Level Rd. City Chapel Hill State: NC Zip: 27516 Department:
COUNTYMGR/Arts Commission Amount: 1500.00 Purpose: 2017-18 Arts Grants Budget Code(s): 37601020-
683001 Vendor# 64707 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type:
(Check one)New® Renewal ❑ Amendment ❑ Effective Date 8/17/2017 Approved by Board Yes No
Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature Mums ItiuiruA, Date: 8/23/2017
0A3E81B12B364B4...
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:
c--DocuSigned by: ��..
Office of the Risk Management Officer [NSA, C,b'IAL1' b Date: 8/26/2017
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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 8/28/2017
�a ° a°'z Date:
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal farm and sufficiency:
ocuSigneend"" y:
tAAAd, ovta tI, fibSG6 9/5/2017
Office of the County Attorne Date:
079A4D525C0F4FB...
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 August 2017