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<br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange Tennis Club Party/Vendor Contact Person: Mike Gasperino Contact Phone: 919- <br /> 732-5463 Party/Vendor Address: 131 Boone Square Street City Hillsborough State: NC Zip: 27278 Department: <br /> DEAPR Amount: $1,500.00 Purpose: Renewal of License Agreement Budget Code(s): Vendor # <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br /> Renewal® Amendment ❑ Effective Date 8/15/2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and con <br /> Department Director's Signature Date: (o <br /> I ormatio echnolo ies <br /> (Applicable only to hardware/software purchas related services)This agreement has been reviewed and is <br /> approved as to information technology con t and sp cifications: <br /> Office of the Chief Information icer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer eye,,— 4 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: <br /> Office of the Chief Financial Officer 7epj�+ Date: 8 <br /> G <br /> Legal Services <br /> This agreement is approved as to legal form and suff ' ncy /C <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d a oran ee countync.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 />