HomeMy WebLinkAboutR 2019-656 DEAPR - Inflate a Party Halloween Spooktacular DocuSign Envelope ID:CBB51545-11D6-4E22-9179-EB9B1E1AB2BF
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Inflate-A-Party Party/Vendor Contact Person: Jeff Kelly Contact Phone: 919-740-2429
Party/Vendor Address: 11781 HWY. 64 City Apex State: NC Zip: 27523 Department: DEAPR-Recreation Amount:
1 796.90 Purpose: Halloween Spooktacular Budget Code(s): 10511020-630000 Vendor # 62960 (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® 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:
q��� �f��L DocuSigned by: r
yl
Department Director's Signature Date:9/18/2019
611CFA1D507A405..
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 sufficient DocuSigpned by: rds, specifications,and requirements:
aUsa ( Q� 6 9/23/2019
Office of the Risk Management Office 7FDCF9176800498. Date:
Financial Services
This instrument has been pre-audited i1I
DocuSigned by: the Local Government Budget and Fiscal Control Act:
q�,s� 41 9/24/2019
Office of the Chief Financial Officer7D4EE51s1AMA0s. Date:
Legal Services
This agreement is approved as b DocuSigned by: lclency:
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Office of the County Attorney 66A, K6k '6 Date:9/24/2019
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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
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