Orange County NC Website
DocuSign Envelope ID:31076302-5D08-411F-A321-680354A900D1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Hoof Beat Farm, LLC Party/Vendor Contact Person: Jason Hawkins Contact Phone: 919-201- <br /> 5347 Party/Vendor Address: 2401 NC Highway 57 City Hillsboroueli State: NC Zip: 27278 Department: AMS <br /> Amount: $4167.25 Purpose: Inclement Weather Event Budget Code(s): 10240320-630000 Vendor#64242 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 2/4/2019 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 /> �W PbV*aan. 3/25/2019 <br /> Department Director's Signature 21EF373ACD454EF.. Date; <br /> Agreements for emergency services or repair are not 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: Inclement weather events require emergency response. <br /> Information Technologies <br /> (}applicable only to hardwarelsoftivare 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 Informatiou Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of17FDCF0176800408 <br /> DocuSigned by, specifications,and requirements: <br /> usa. cbm.t,{�6 3/28/2019 <br /> Office of the Risk Management Officer . Date: <br /> Financial Services <br /> This instrument has been pre-audited in the Docusigned.by:.. -veal Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 4 Date:4/1/2019 <br /> 1 7D4E51S1ACC1409. <br /> Le alg_ Services <br /> This agreement is approved as to legal torn DocuSigned by: <br /> Office of the County Attorney �6LW K6 uu s Date:4/4/2019 <br /> EAA3D33ED&Ae435.. <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 />