HomeMy WebLinkAboutR 2017-438-E Arts - Jenks Miller - 2017-18 Arts Grant Agreement DocuSign Envelope ID:AA4D52F4-E4D6-4FB4-9B1 D-E18606475C71
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Jenks Miller Party/Vendor Contact Person: Jenks Miller Contact Phone: 919-633-1522
Party/Vendor Address: 5703 Buckhorn Rd. City Efland State: NC Zip: 27243 Department: COUNTYMGR/Arts
Commission Amount: 1500.00 Purpose: 2017-18 Arts Grants Budget Code(s): 37601020-683001 Vendor#64713
(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 Jor tband content:
Department Director's Signatur trti t' 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:
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Office of the Risk Management Officer [(USX CortA ..ffb Date: 8/25/2017
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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 rIAo ��� Date: 8/25/2017
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Legal Services
This agreement is approved as to le al form and sufficiency:
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aIIUAL, ovtAYtl, -Nto 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