HomeMy WebLinkAboutR 2017-464-E Arts - Orange County Historical Museum - 2017-18 Arts Grant Agreement DocuSign Envelope ID: 1 BCF0634-CD89-4310-96E4-A32E6E1A91A6
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Historical Museum Party/Vendor Contact Person: Ernest Dollar Contact
Phone: 919-491-5398 Party/Vendor Address: 201 N. Churton St. City Hillsborough State: NC Zip: 27278
Department: COUNTYMGR/Arts Commission Amount: 1877.00 Purpose: 2017-18 Arts Grants Budget Code(s):
37601020-683000 Vendor#3957 (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 om d an content:
Department Director's Signature ile"'S "' Date: 8/23/2017
0A3E61 B12B364B4...
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:
DocuSigned""by:
''11LL
Office of the Risk Management Officer aLISA. �,6vvu,tt0 Date: 8/29/2017
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 '''tp ‘6°""I''' Date: 8/29/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to l g gn d sufficiency:
Office of the County Attorney aln,l�. 1SCb Date: 9/5/2017
079A4D525C0F4FB...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a)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