R 2015-618-E ED - Amy Scott dba Scott Family Farm - Agricultural Grant Agreement

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DocuSign Envelope ID:OF5507OA-05F7-4558-9A34-49CD6AF5FA5C ORANGE COUNTY—DEPARTMENT USE ONLY Deuartment Party/Vendor Name: Amy Scott DBA Scott Family Party/Vendor Contact Person: Amy Contact Phone: 919-215-9155 Party/Vendor Address: 3820 Cedar Run Ct City Efland State: NC Zip: 27243 Department: Economic Development Amount: $1,000.00 Purpose: Agricultural Grant award Budget Code(s): 34600020-900050 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 12/3/15 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to to &@JAqrm_mad content: Department Director's Signature Sic $zas•� Date: 12/3/2015 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 sufficiency mfiat,,b §:tandards,specifications,and requirements: Q�ISArbvwc 1t0 12/7/2015 Office of the Risk Management Officer �.e t..aooa Date. Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DOCUSigned by: Office of the Chief Financial Officer ('D4 e1ACC1409. Date: 12/7/2015 Legal Services This agreement is approved as to PfMW06 sufficiency: ,�auxt,S j�jV' a.ln, Office of the County Attorney &DGA �F5 Date: 12/8/2015 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&)orffl1geco1mjync.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: