HomeMy WebLinkAboutR 2017-461-E Arts - Mary Scroggs Elem. School PTA - 2017-18 Arts Grant Agreement DocuSign Envelope ID:A93DFB16-F899-47A7-98E9-B1FBA2F2F1B5
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Mary Scroggs Elementary School PTA Party/Vendor Contact Person: Crystal Epps Contact
Phone: 919-918-7165 Party/Vendor Address: 501 Kildaire Rd. City Chapel Hill State: NC Zip: 27516
Department: COUNTYMGR/Arts Commission Amount: 2146.00 Purpose: 2017-18 Arts Grants Budget Code(s):
37601020-683000 Vendor#64272 (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 tr1 .1S rUA, 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:
r----DocuSigned by:
'
Office of the Risk Management Officer
aus Cw"vi-th Date: 8/31/2017
``,. 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 Office (1 4441.°6"."- Date: 9/1/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as totlegglisoml sufficiency:
uffict iency:
9/5/2017
Office of the Count y Attorne y likk , Auvit, -1- ste, 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