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DocuSign Envelope ID: 5B86F0CC- 2E2E- 4D9B- 9E8D -1 BOCB926E5D6 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Carrboro Coffee Company Party/Vendor Contact Person: Elizabeth Albrecht Contact Phone: <br />919 - 968 -4760 Party/Vendor Address: 101 S. Greensboro St. City Chapel Hill State: NC Zip: 27510 Department: <br />County Manager Amount: $0 Purpose: Food Truck Budget Code(s): 34600020 900057 Vendor # 65263 (N /A if <br />new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New E Renewal ❑ <br />Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to technical form and content: <br />,OocuSigned by: <br />Department Director's Signature l Va�S Date: 8/28/2018 <br />flA3E81B12B364B4... <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />WcuSigned by: <br />pp ��1_ . � <br />Office of the Risk Management Officer aUsa (Q 6 Date: 8/28/2018 <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 <br />+� _ Date: 8/28/2018 <br />704E5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form and sufficiencv: <br />UocuSigned by: <br />Office of the County Attorney 58LJA, Pk'6 Date: 8/28/2018 <br />EAA3033EM8AW5... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin er,_erg sollgorangecountync.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 <br />LF2018 v.1. <br />7 <br />Date: <br />