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DocuSign Envelope ID: C3D57EB7-FOF1-4D40-B40C-26BOB9425E3A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The Cozy Corner Party/Vendor Contact Person: Stephanie Brown Contact Phone: <br /> 919-370-2764 Party/Vendor Address: 103-A Louis Armstrong City Chapel Hill State: NC Zip: <br /> 27515 Department: Economic Development Amount: $1,500.00 Purpose: Business Investment Grant <br /> Award Budget Code(s): 34600020-900051 Vendor#N/A (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective <br /> Date: February 12, 2016 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technitent: <br /> 2/18/2016 <br /> Department Director's Signature 754""'9=04 <br /> u4EFA�,gE4,o___ 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 i4f�e&' '"8�y§�t�aandards, specifications, and requirements: <br /> QUSA �OrwcN 2/19/2016 <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 /> Office of the Chief Financial Officer 7�D481A ,4o Date: 2/19/2016 <br /> Legal Services <br /> This agreement is approved as to '46mdand sufficiency: <br /> 7",.QC480549A4F5 lit,S 15r�� 2/19/2016 <br /> Office of the County Attorney _ D ate: <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 />