HomeMy WebLinkAboutR 2019-436 DEAPR - Joel Leonard theater camp DocuSign Envelope ID: F4A90588-A899-4CC5-B2A2-5E81A5E87038
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Joel W. Leonard Party/Vendor Contact Person: Joel W. Leonard Contact Phone: 919.383.7589
Party/Vendor Address: 2501 Pleasant Green Road City Durham State: NC Zip: 27705 Department: DEAPR-
Recreation Amount: $3,000.00 Purpose: Theater Jr. and Theater Sr. Summer Camp Instruction Budget Code(s):
10511020 630000 Vendor# 56876 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date June 24,2019 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:
awl goLa 6/24/2019
Department Director's Signature s11CFA1D507A4s5.. Date:
Agreements for emergency services or repair are not subject 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:
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 sufficien< bo'cusigned by: rds,specifications,and requirements:
QuSa (,4W�.t,{�6 7/12/2019
Office of the Risk Management Office 7FDCF9176900498. Date:
Financial Services
This instrument has been pre-audited i DocuSigned by: the Local Government Budget and Fiscal Control Act:
`� " 7/12/2019
Office of the Chief Financial Officercr 7NE5181ACC1400. Date:
Legal Services
This agreement is approved as to DocuSigned by, ciency:
66A, PkkW s 7/12/2019
Office of the County Attorney Date:
EAA3033E08AE4S5..
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
Ds
GS