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DocuSign Envelope ID:86FFE4A7-29AE-4BE3-8D18-A9DAEBABFF5D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Triangle Crawl Space Solutions Party/Vendor Contact Person: Daniel Lance <br /> Contact Phone: 919-391-0427 Party/Vendor Address: 5320 Cascade Drive City Chapel Hill State: NC <br /> Zip: 27514 Department: Economic Development Amount: $3,027.00 Purpose: Business Investment <br /> Grant Award Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new vendor) Vendor is a <br /> BOCC 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 techni �444.j l ontent: <br /> v- fc,� 11/23/2016 <br /> Department Director's Signature 3�au4EFAC1aE410_ 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 o ` ndards, specifications, and requirements: <br /> Q Sa 06 <br /> Office of the Risk Management Officer 7FDCF9176800498 L44Vs... Date: 11/28/2016 <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 /> (�" 11/28/2016 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as to 1 ga `o ":sufficiency: <br /> A.ulit,S ir�ao, 11/28/2016 <br /> Office of the County Attorney 328DC480549A4F5... Date: <br /> Clerk to the Board <br /> Received for record retention: 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 June 2016 <br />