HomeMy WebLinkAboutR 2018-527 Coop Ext - Thomas Justin Robinson LocalFest vendor agreementLF2018v.1.
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Thomas Justin RobinsonParty/Vendor Contact Person: Contact Phone: 704-678-7009
Party/Vendor Address: 1009 Milton Rd.City Durham State: NCZip: 27712Department: County Manager
Amount: $300Purpose: Black Eye Peas DemoBudget Code(s): 34600020 900057Vendor # 65303(N/A if new
vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal
Amendment Effective Date Approved by Board Yes No AgendaDate:
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ Date: ________
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:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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:_________
DocuSign Envelope ID: C41F81C2-0E8A-4FC1-87BD-07663DAAA823