HomeMy WebLinkAboutR 2019-752 DEAPR - Wildly Impressive Entertainment spooktacular DocuSign Envelope ID: 1BF58F80-D1B3-4C7A-BBBC-42D02CE07015
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Wildly Impressive Entertainment Party/Vendor Contact Person: Nico Wild Contact Phone:
(800) 972-1922 Party/Vendor Address: 237 s Winstead Ave #G1 City Rocky Mount State: NC Zip: 27804
Department: DEAPR-Recreation Division Amount: $1,200.00 Purpose: Halloween Spooktacular face painting and
magic Budget Code(s): 10511020 630000 Vendor# (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: October 26,2019
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 Signature1P,,,,_FA1,,,7A4,,__
awl gawa Date: 10/10/2019
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 DocuSigppned_by:
. rds,specifications,and requirements:
aUsa LQ 6 10/11/2019
Office of the Risk Management Office Datc:
7FDCF9178800495.
Financial Services
This instrument has been pre-audited in DocuSigned by: :he Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer Date: 10/11/2019
- 704E51S1ACC1409. — -
Legal Services
This agreement is approved as tc DocuSigned by: iciency:
Office of the County Attorney Date: 10 11 2019
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
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