Orange County NC Website
DocuSign Envelope ID: C5693398-9BA6-4207-9943-617192835F59 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Smith Family Fun Farm Party/Vendor Contact Person: Jeffrey Denson Contact Phone: 919- <br /> 732-9395 Party/Vendor Address: 1715 St. Mary's Road City Hillsborough State: NC Zip: 27278 Department: <br /> Economic Development Amount: $10.000.00 Purpose: Agricultural Investment Grant award Budget Code(s): <br /> 34600020-900050 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date 8/12/15 Approved by Board Yes❑No <br /> ❑ Agenda Date: <br /> This agreement is approved as to to cWuf agad content: <br /> Department Director's Signature 540e $� Date: 8/14/2015 H11111,111 11141 0_ <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficient �iiistandards,specifications,and requirements: <br /> Q�ASA rbvvte tt0 8/14/2015 <br /> Office of the Risk Management Office zEDC�auran� Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> �&(At tA.UA�bVu 8/14/2015 <br /> Office of the Chief Financial Officer 232E)PP Date: <br /> Legal Services <br /> This agreement is approved as t e ��1�1�Rf`'aY�d sufficiency: <br /> A Wtt S j�2r A bl <br /> Office of the County Attorney „anus saa��� Date: 8/14/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&)orffl­1geco1mjync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br />