HomeMy WebLinkAboutR 2017-708-E Finance - Public Gallery outside agency agreement DocuSign Envelope ID:3B67A5FD-6776-4322-9152-0531CA4BC4BD
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Public Gallery of Carrboro,DBA WCOM Community Radio Party/Vendor Contact Person: Art
Menius Contact Phone: 919-929-9601 Party/Vendor Address: 300-G East Main Street City Carrboro State:NC Zip:
27510 Department: Finance & Administrative Services Amount: 1000 Purpose: FY 2017-18 Outside Agency
Performance Agreement Budget Codc(s): 10695050720273 Vendor# 861074 (N/A if new vendor) Vendor is a
BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
7/1/2017 Approved by Board Yes®No❑ Agenda Date: 6/20/2017
This agreement is approved as to technics DocuSigned by:
Department Director's Signature Date:11/27/2017
7D4E51S1ACC1469...
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 ins DocuSlgned by: cifications,and requirements:
[7FDCF9176900498
ils& �,OVln.A6 11/27/2017
Office of the Risk Management Officer ... Date:
Financial Services
This instrument has been pre-audited in the mann L)ocu5ig,; d by:' T Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � Date: 11/27/2017
7NE5181ACC14d9...
Legal Services
This agreement is approved as to legal form a DocuSigned by:
9In.ZAk h0it, '[DSO 11/27/2017
Office of the County Attorney 079A4D525C0F4FB... Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran e� countync•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:
(Public Gallery of Carrboro,DBA WCOM Community Radio)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7117