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DocuSign Envelope ID:9A8BDE32-FC8A-4203-8474-1ECCF7AF62EC <br /> o- <br /> E <br /> I` <br /> I <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Nantucket Grill, Inc. Party/Vendor Contact Person: Jeny Sullivan Contact Phone: 919-259- <br /> 2925 Party/Vendor Address: PO Box 2655 City Chanel Hill State: NC Zip: 27515 Department: Aging <br /> Amount: $250,000 Purpose: Senior Lunch Program caterer Budget Code(s): 10430120-630000-71086 Vendor# <br /> 40866 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ <br /> Renewal ® Amendment ❑ Effective Date 7/01/15 Approved by Board Yes® No❑ Agenda Date: <br /> 10/20/15 <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature «- fi <br /> Date: 11/12/2015 <br /> B7E962D1BF454FA... <br /> Information Technologies <br /> f <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 Mana ement <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> ''� <br /> Office of the Risk Management Officer PCs& r,6vvt,e b Date: 11/13/2015 <br /> 7FDCF9176800498... . <br /> �ff <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 /> ,_DOCUSIgned by: <br /> Office of the Chief Financial Officer '�°��� Date: 11/13/2015 �l <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> i <br /> This agreement is approved as to legal fform adnd sufficiency: <br /> d <br /> Office of the County Attorney "k Date: 11/16/2015 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> i <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,orangecountync.gov <br /> Office of the Clerk to the Board Date: <br /> G <br /> c. <br />