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OCEDbiga June 2016 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />_____________________________________________________________________________ <br />Department <br />Party/Vendor Name:Santosha Space, LLCParty/Vendor Contact Person:Sarah JohnstonContact Phone: <br />919-590-9494Party/Vendor Address: 200 N. Churton StreetCity HillsboroughState: NCZip: 27278 <br />Department: Economic DevelopmentAmount: $1,500.00Purpose: Business Investment Grant Award <br />Budget Code(s): 34600020-900051Vendor # 65445 (N/A if new vendor) Vendor is a BOCC <br />consultant? Yes No Contract Type: (Check one) New Renewal Amendment <br />Effective Date November 13, 2018Approved by Board 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 <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 of insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ 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: <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: All DocuSign contracts must be copied to Sherri Ingersollupon <br />completion @ Singersoll@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 />DocuSign Envelope ID: A5395492-4C70-402E-A7F1-2688316D702F <br /> <br /> <br /> <br />