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T)�5- t� <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Hillsborough Youth Athletic Association Party/Vendor Contact Person: Kurt Sikes Contact <br /> Phone: 919-883-6852 Party/Vendor Address: PO Box 577 City Hillsborough State:NC Zip: 27278 Department: <br /> DEAPR Amount: $2,700 Purpose: Lease Agreement Budget Code(s): Vendor # (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No X Contract Type: (Check one) New ❑ Renewal X <br /> Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and contenL <br /> Department Director's Signature 4V Date: 12 <br /> Information jechnologies <br /> (Applicable only to hardware/software purchXandifications:services)This agreement has been reviewed and is <br /> approved as to information technology conte <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> Office of the Risk Management Officer (� Date._!< <br /> Financial Services <br /> This instrument has been pre-audited in the anner r Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: t'Z <br /> Legal Services <br /> This agreement is approved as to leWf ands e cy: <br /> Office of the County Attorney Date: /�'' S�S <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(agoran eg_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 />