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DocuSign Envelope ID: C6601348-ED54-4518-A785-B78CFF350C8B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Synergy Firehoops, LLC Party/Vendor Contact Person: Scott Crews Contact <br /> Phone: 919-724-2059 Party/Vendor Address: 2306 Ivey City Chapel Hill State: NC Zip: 27516 <br /> Department: Economic Development Amount: $3,564.00 Purpose: Business Investment Grant Award <br /> Budget Code(s): 34600020-900051 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No ❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date <br /> November 10, 2016 Approved by Board Yes ❑ No ❑ Agenda Date: <br /> This agreement is approved as to techm a %TififflVdyoontent: <br /> 5;kvt B444.11cy 11/18/2016 <br /> Department Director's Signature s7eD4EFAC1aE41o... 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 Ih f 111 taandards, specifications, and requirements: <br /> Risk �bV'tttN 11/23/2016 <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 /> (�" 11/23/2016 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as to le h "igtaToysufficiency: <br /> Lm4t,s br�avu 11/23/2016 <br /> Office of the County Attorney P., Date: <br /> Clerk to the Board <br /> Received for record retention: All DocuSign contracts must be copied to Donna Lloyd upon completion <br /> @ Dolloyd&oran ecountvnc.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 />