HomeMy WebLinkAboutR 2017-456-E Arts - Ephesus Road Elem. School PTA - 2017-18 Arts Grant Agreement DocuSign Envelope ID:3F298E85-795E-4517-9AC0-9 FEDA409614B
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Ephesus Road Elementary School PTA Party/Vendor Contact Person: Victoria Creamer
Contact Phone: 919-929-8715 Party/Vendor Address: 1495 Ephesus Church Rd. City Chapel Hill State: NC Zip:
27517 Department: COUNTYMGR/Arts Commission Amount: 1523.00 Purpose: 2017-18 Arts Grants Budget
Code(s): 37601020-683001 Vendor#55065 (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 to ialstim �y�nd content:
Department Director's Signatur fi'�aws ' ( Date: 8/23/2017
0A3E81812836484...
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:
r----DocuSigned by:
/I / '" 8/25/2017
Office of the Risk Management Officer ausx CovtAt,116 Date:
``,. 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 Office
r
(1p `.6°" 6°9Z Date: 8/25/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as t i , fggtispd sufficiency:
ate, Aura, -Nto 8/25/2017
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