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DocuSign Envelope ID:35D3031E-3109-4B3B-B7AD-8A771981BC2A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Carolina Club Party/Vendor Contact Person: JJ Oppegard Contact Phone: 919-843-8188 <br /> Party/Vendor Address: 150 Stadium Drive City Chapel Hill State: NC Zip: 27514 Department: Tax Amount: 4.500 <br /> Purpose: Regional Tax Meeting Budget Code(s): 10-240067 Vendor# 65542 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date <br /> 2/12/19 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature VWA.w_ 15yiy sou Date:2/13/2019 <br /> Agreements for emergency service paivwraw.subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: N/A <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 /> DocuSig/'ned""by: <br /> ''ll� <br /> Office of the Risk Management Office &A, rbvvu lib Date: 2/13/2019 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in thg gne required by the Local Government Budget and Fiscal Control Act: <br /> ocu igne by: <br /> Office of the Chief Financial Office 1"� '� °'� Date:2/13/2019 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to le al form end sufficiency: <br /> ocu igne y: <br /> a�n.�n.c, t- �s(h 2/13/2019 <br /> Office of the County Attorne Date: <br /> 079MD525COWB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon 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 /> Revised 12/18 4 <br />