HomeMy WebLinkAboutR 2017-458-E Arts - Carter Hubbard - 2017-18 Arts Grant Agreement DocuSign Envelope ID:A0B1 EB25-DA83-4024-9927-D69B64746F70
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carter Hubbard Party/Vendor Contact Person: Carter Hubbard Contact Phone: 919-616-
3659 Party/Vendor Address: 15815 Springbrook Ct. City Lake Oswego State: OR Zip: 97034 Department:
COUNTYMGR/Arts Commission Amount: 1500.00 Purpose: 2017-18 Arts Grants Budget Code(s): 37601020-
683001 Vendor# 57733 (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:
r DocuSigned by:
Department Director's Signature trav,is kruA, 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 DocuSigned by:
/I 8/25/2017
Office of the Risk Management Officer ausa V'IA,t-th Date:
`'*• 7FDCF9176800498...
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 (16 `�°" '`"` Date:8/25/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to,..140.Capadavd sufficiency:
0.LiUAL 1ISC6 8/25/2017
Office of the County Attorney 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