Orange County NC Website
DocuSign Envelope ID: DFDBB56D-OC18-47AE-BOA7-A7458512CFA4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Elysian Fields Farm, LLC Party/Vendor Contact Person: Beth Myers Contact Phone: 919- <br /> 428-7903 Party/Vendor Address: 110 O verbey Drive City Cedar Grove State: NC Zip: 27231 Department: <br /> Economic Development Amount: $9,862.00 Purpose: Agriculture Grant award Budget Code(s): 34600020- <br /> 900050 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date 3/28/16 Approved by Board Yes ❑No ❑ <br /> Agenda Date: <br /> This agreement is approved as to tec €agae$' ++xj aiao content: <br /> Department Director's Signature Date: 4/15/2016 <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 sufficiency ,,gy Ap&r,$andards, specifications,and requirements: <br /> Office of the Risk Management Officer r brwc 6 Date:4/18/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: ocuSigned by: <br /> Office of the Chief Financial Officer P�� Date: 4/19/2016 <br /> Legal Services <br /> This agreement is approved as to le h ,¢d W_fficiency: <br /> Office of the County Attorney <br /> JA L Date:4/19/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollod(cr�,oran eg countvnc og_v <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 />