R 2016-476-E ED - Pizzelle - Business Investment Grant Agreement

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DocuSign Envelope ID:A3E5E1DD-BC39-44A8-80CE-3AA874F4C156 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Pizzelle Party/Vendor Contact Person: Kelly Taylor Contact Phone: 919-649-8920 Party/Vendor Address: 306 W. Franklin Street City Chapel Hill State: NC Zip: 27516 Department: Economic Development Amount: $5,000.00 Purpose: Business Investment Grant Award Budget Code(s): 34600020- 900051 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date August 16, 2016 Approved by Board Yes ❑ No❑ Agenda Date: This agreement is approved as to technical form and content: Docu5igned by:pp,,--.. Svc $'b�'�`Z` � 8/22/2016 Department Director's Signature z,R�4EEAU.3P1 Date: Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency,o IY%6 `cV:standards, specifications, and requirements: ov�,t,{�a Office of the Risk Management Officer Q�isa Date: 8/22/2016 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: s�oss�aorc 8/22/2016 Office of the Chief Financial Officer � Date: Legal Services This agreement is approved as t7:.2Zj)C48QQAjof&fMea�'d sufficiency: Office of the County Attorney Date: 8/23/2016 Clerk to the Board Received for record retention: All DocuSign contracts must be copied to Donna Lloyd upon completion @ DolloydCc�orangecountync.gov The following signature block is for hard copies only and is not required for DocuSign contracts: Office of the Clerk to the Board Date: