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Revised 2/17 <br />ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: Orby Dare OrchardParty/Vendor Contact Person: Shelley RogersContact Phone: 919-709- <br />9248Party/Vendor Address: 980 Lynch Creek Farm RdCity:Cedar GroveState: NCZip: 27231 <br />Department: Economic DevelopmentAmount: $2,665/00Purpose: Agriculture Grant AwardBudget Code(s): 34- <br />34600020-900050Vendor # 63699 (N/A if new vendor) Vendor is a BOCC consultant? Yes No <br />Contract Type: (Check one) New Renewal Amendment Effective Date 7/18/18Approved by Board <br />Yes No Agenda Date: <br />This agreement is approved as to technical form and content: <br />Department Director’s Signature ________________________________________ Date: ________ <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 />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: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <br />Clerk to the Board <br />Received for record retention: <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: F42B6794-7EEA-4099-AEA5-E02B48E2B37B <br /> <br /> <br /> <br />