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DocuSign Envelope ID:88CBC710-CA3F-4432-8DEE-13C97A7823E7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Food Council Party/Vendor Contact Person: Ashley Heger Contact Phone: <br /> Party/Vendor Address: PO Box 395 City Saxapahaw State: NC Zip: 27340 Department: Co Manager <br /> Amount: $26.376 Purpose: Facilitation Services Budget Code(s): 10495050-719071 Vendor#64701 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 07/01/17 Approved by Board Yes' No Agenda Date: <br /> This agreement is approved as to technical form and c(bnt: <br /> otencu gned by: <br /> Department Director's Signature LiPtts ki Date: <br /> 0A3E811312B364134... 8/22/2017 <br /> Information Technologies <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 sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer atiSa (,6V1i.L1 Eo Date: <br /> 8/22/201/ <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer ('b 0 -i Date: 8/22/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficienc: <br /> DocuSigned by: <br /> Office of the County Attorney L)ttuA,1o(u leoliwfs Date: <br /> EAA3D33ED8A8465... 8/25/2017 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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 /> Revised 2/17 <br /> 9 <br />