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DocuSign Envelope ID:2102FF3F-123F-4D5F-9A87-A78886048973 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Larry Weaver Entertainment Party/Vendor Contact Person: Larry Weaver Contact Phone: 919- <br /> 816-2884 Party/Vendor Address: 2501 Cherry Blossom Drive City Durham State: NC Zip: 27703 Department: Tax <br /> Amount: 500 Purpose: Regional Tax Meeting Budget Code(s): 10-240067 Vendor # 65543 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 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 Signatur V w�' fyiyuSbyu Date:2/13/2019 <br /> Agreements for emergency service dit2AW ftsubject 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 /> DocuSignedby: <br /> Office of the Risk Management Office &A, Chnkt Tll� <br /> b Date:2/13/2019 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in thQ manne%required by the Local Government Budget and Fiscal Control Act: <br /> ocu igne y: <br /> Office of the Chief Financial Office 'N ,L�� 2/13/2019 <br /> ar�,G/Q� Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal��9rm�and sufficiency: <br /> al�tl�lt, L -�S(b 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 />