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DocuSign Envelope ID:270F2AF9-3EF6-4A31-B7D1-6B9D3EO83AC1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Midway Community Kitchen, LLC Party/Vendor Contact Person: Kathy <br /> Contact Phone: 919-280-0895 Party/Vendor Address: 505 W. Rosemary Street City Chapel Hill State: <br /> NC Zip: 27516 Department: Economic Development Amount: $5,000.00 Purpose: Business <br /> Investment Grant Award Budget Code(s): 34600020-900051 Vendor#N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ <br /> Amendment ❑ Effective Date February 12, 2016 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to techn� a VWAW fl&content: <br /> 1. B444.116y 2/17/2016 <br /> Department Director's Signature Lt37BD4EFAC1BE410 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 o If[ lti :standards, specifications, and requirements: <br /> QUSA rwc X16 2/17/2016 <br /> Office of the Risk Management Officer 7FDCF9176800498... 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 /> El� 2/18/2016 <br /> Office of the Chief Financial Officer 7D4E5181ACC14409 Date: <br /> Legal Services <br /> This agreement is approved as to�328DC480549MF5 R1cf8?i'fV hhd sufficiency: <br /> t'S br la's' 2/18/2016 <br /> Office of the County Attorney ... Da te: <br /> Clerk to the Board <br /> Received for record retention: <br /> All DocuSign contracts must be copied to Donna Lloyd upon completion @ <br /> Dolloydkoran 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 /> OCEDbiga July 2015 <br />