Orange County NC Website
DocuSign Envelope ID: C98E477C-FAEO-4188-B9A6-924B2E61449A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Whole Health Party/Vendor Contact Person: Maureen Dunn Contact <br /> Phone: 919-525-1577 Party/Vendor Address: 55 Vilcom Center Drive, Boyd Hall, Suite 100 City Chapel <br /> Hill State:NC Zip: 27516 Department: Economic Development Amount: $3,000.00 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 April 27, 2016 Approved by Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to techni 1111'Z1111bC�ontent: <br /> $'�'�"`Z` 5/13/2016 <br /> Department Director's Signature 37eD4EFACjaE4�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 sufficienc o gt fffl'"'t� 's1tiandards, specifications, and requirements: <br /> t!usa, Orvct fft 5/16/2016 <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 Officer481A14o Date: 5/31/2016 <br /> Legal Services <br /> This agreement is approved as to eg 4°fffffl Wd sufficiency: <br /> J�Au�t S r�ao, 5/31/2016 <br /> Office of the County Attorney 328DC480549A4F5... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All DocuSign contracts must be copied to Donna Lloyd upon completion @ <br /> Dolloydkoran ecg ountync.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 />