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DocuSign Envelope ID:A9914031-AC7E-4CCF-8958-FBC0453F5E5F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Hillsborough Bicycle, LLC Party/Vendor Contact Person: Aaton Belz Contact <br /> Phone: 919-644-0000 Party/Vendor Address: 110 W. Corbin Street City Hillsborough State: NC Zip: <br /> 27278 Department: Economic Development Amount: $4,600.00 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 ❑ <br /> Effective Date November 10, 2016 Approved by Board Yes ❑ No ❑ Agenda Date: <br /> This agreement is approved as to technic > ' opn"t'ent: <br /> 75� � 11/16/2016 <br /> Department Director's Signature 3D4EFAC1BE41o... 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 1M T tystaandards, specifications, and requirements: <br /> 7�� r wc,�16 11/17/2016 <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 /> (�" 11/17/2016 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as to 7�1328DC480549A4F5 Vcft"Am sufficiency: <br /> .wit,s br7 as u 11/17/2016 <br /> Office of the County Attorney ... Date: <br /> Clerk to the Board <br /> Received for record retention: All DocuSign contracts must be copied to Donna Lloyd upon completion <br /> @ Dolloy ftoran ecountync.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 June 2016 <br />