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DocuSign Envelope ID: EAOA9A71-3F53-4235-9FC8-555C38BOB4B8 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Two Chicks Farm,Inc. Party/Vendor Contact Person: Audrey Lin Contact Phone: 919-357- <br /> 8343 Party/Vendor Address: 3800 Mallory Ct. City Hillsborough State: NC Zip: 27278 Department: Economic <br /> Development Amount: 10,000 Purpose: Agriculture Grant Budget Code(s): 34600020-900050 Vendor# 64095 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 10/26/16 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tec!E,4,,=.-,,44Q' Wft Pftl� :content: <br /> j?44,041 y 10/26/2016 <br /> Department Director's Signature Date: <br /> Information Technolosies <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 M�y,6Qnsurance standards, specifications,and requirements: <br /> 9US06(h ulfb 10/31/2016 <br /> Office of Risk Management Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer C� Date: 11/2/2016 <br /> naF5�81ar ?AOQ <br /> Legal Services <br /> This agreement is approved as to 9Pcf0im�d sufficiency: <br /> A.wtt,S IjV'�Adn, / / <br /> Office of the County Attorney Date: 11 2 2016 <br /> 32&PG4 r5... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />