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DocuSign Envelope ID: 172EE038-47D7-4473-830C-B229323ABE99 <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Waterless Buddy's LLC Party/Vendor Contact Person: Austin Helms Contact <br /> Phone: 828-448-5521 Party/Vendor Address: 321 West Rosemary Street City Chapel Hill State: NC <br /> Zip: 27514 Department: Economic Development Amount: $8,000.00 Purpose: Business Investment <br /> Grant Award Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date: Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to techni R�r igaWW&content <br /> Sic $� 10/28/2015 <br /> Department Director's Signature g7BIIAEPAr,1HE4]0 Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services) This agreement has been reviewed <br /> and is 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 sufficiency ndards, specifications, and requirements: <br /> d Sabo 10/29/2015 <br /> Office of the Risk Management Officer 7F DCF9176BOO498_. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: DOCUSigned by: <br /> 10/29/2015 <br /> Office of the Chief Financial Officer 7D4ES,B1ACC1409-, Date: <br /> Legal Services <br /> This agreement is approved as to �for .d sufficiency: <br /> JMLS 1 rr& 10/29/2015 <br /> Office of the County AttorneyaF� Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ <br /> Dolloyd&orane ecountync.ov <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 /> OCEDbiga July 2015 <br />