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DocuSign Envelope ID:38609A18-A192-4929-B5EE-E873801395C1 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Inflate-A-Party Party/Vendor Contact Person: Jeff Kelly Contact Phone: 919-740-2429 <br /> Party/Vendor Address: 11781 HWY. 64 City Apex State: NC Zip: 27523 Department: DEAPR-Recreation Amount: <br /> 2 125.00 Purpose: 2019 Community Egg Hunt Inflatables Budget Code(s): 10511020-630000 Vendor#62960 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 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 /> pawl <br /> by: <br /> pawl Sf�r� 3/28/2019 <br /> Department Director's Signature s,,cFA,D5o7A4s5.. 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: <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 sufficient -Diocusigned by: 'ds, specifications,and requirements: <br /> �U$66 (, 6 3/29/2019 <br /> Office of the Risk Management Officer 7FDCF9176800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> ( 4/1/2019 <br /> Office of the Chief Financial Officerccoas,aCC,4as. Date: <br /> Legal Services <br /> This agreement is approved as tc Docusigned by: _iciency: <br /> Office of the County AttorneyD <br /> 6LW �bk� Date: 4/4/2019 <br /> EAA3MaEMAW&— <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 /> Ds <br /> GS <br />