HomeMy WebLinkAboutR 2017-455-E Arts - Carrboro Elem. School PTA - 2017-18 Arts Grant Agreement DocuSign Envelope ID:B96D2CB4-5762-4D6D-8B05-3BE103D9D7D8
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carrboro Elementary School PTA Party/Vendor Contact Person: Jillian la Serna Contact
Phone: 919-968-3652 Party/Vendor Address: 400 Shelton St. City Carrboro State: NC Zip: 27510 Department:
COUNTYMGR/Arts Commission Amount: 2056.00 Purpose: 2017-18 Arts Grants Budget Code(s): 37601020-
683000 Vendor# 55897 (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 Signatur traws A Date: 8/23/2017
0A3E81612836464...
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 [(USX CbrtAkftb Date: 8/25/2017
``,. 7 FDC F9176800498...
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 rI 0o,Ia Date: 8/25/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
/nI ocuSigned,"by:
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Office of the County Attorney
0.t/UAA hark-tL 1 SCb Date: 8/25/2017
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