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DocuSign Envelope ID: 3AD9AAC3-9542-43E9-83CE-1 C9218EA9A6D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Bracken Brae Farm, LLC Party/Vendor Contact Person: Linda Sakiewicz Contact <br /> Phone: 919-414-6043 Party/Vendor Address: 3500 Oak Grove Church Road City Mebane State: NC Zip: 27302 <br /> Department: Economic Development Amount: $10,000.00 Purpose: Agricultural Grant award Budget <br /> Code(s): 34600020-900050 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 12/3/15 Approved by Board <br /> Yes❑Non Agenda Date: <br /> This agreement is approved as to to - '14iftwinciftd content: <br /> $ vcg4.4.1ity <br /> Department Director's Signature Date: 12/6/2015 BEM 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 sufficiencyrof} Sywtandards, specifications,and requirements: <br /> QtiSatorIA {fb 12/7/2015 <br /> Office of the Risk Management Officer Date: <br /> --7FOCF9176800498... <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 /> °r 12/16/2015 <br /> Office of the Chief Financial Officer Date: <br /> /U4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to h1?b it and sufficiency: <br /> J�LS 15�ia 12/16/2015 <br /> Office of the County Attorney Date: <br /> 3288@480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 />