HomeMy WebLinkAboutR 2019-077 Tax Admin - Larry Weaver Entertainment regional tax meeting DocuSign Envelope ID:2102FF3F-123F-4D5F-9A87-A78886048973
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Larry Weaver Entertainment Party/Vendor Contact Person: Larry Weaver Contact Phone: 919-
816-2884 Party/Vendor Address: 2501 Cherry Blossom Drive City Durham State: NC Zip: 27703 Department: Tax
Amount: 500 Purpose: Regional Tax Meeting Budget Code(s): 10-240067 Vendor # 65543 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 2/12/19 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
Department Director's Signatur V w�' fyiyuSbyu Date:2/13/2019
Agreements for emergency service dit2AW ftsubject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed: N/A
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:
DocuSignedby:
Office of the Risk Management Office &A, Chnkt Tll�
b Date:2/13/2019
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in thQ manne%required by the Local Government Budget and Fiscal Control Act:
ocu igne y:
Office of the Chief Financial Office 'N ,L�� 2/13/2019
ar�,G/Q� Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal��9rm�and sufficiency:
al�tl�lt, L -�S(b 2/13/2019
Office of the County Attorne Date:
079MD525COWB...
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:
Revised 12/18 4