Orange County NC Website
DocuSign Envelope ID: EB95AF21-6E8D-4708-AOD6-B5AABC2D5767 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> PartyfVendor Name: Hillsborough Youth Athletic Association, Inc. PartylVendor Contact Person: Ryan O'Keefe, <br /> President Contact Phone: 919-824-2957 PartyfVendor Address: 107 Collins Avenue City Hillsborougb State:NC <br /> Zip: 27278 Department: DEAPR Amount: Revenue to Coun 2 700 per year for 3 years Purpose: license <br /> agreement to permit the HYAA to offer youth baseball and softball at County baseball and softball facilities for an <br /> annual fee Budget Code(s):NA Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> X Contract Type: (Check one)New❑ Renewal X Amendment ❑ Effective Date March 1,2019 Approved by <br /> Board Yes❑No X Agenda Date:N/A <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> Docusigned by: 4/1/2019 <br /> Department Director's Signature )a�t, SIOU6C Date: <br /> Agreements for emergency services or repair are n 911CFA1D507A495. affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware 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 In€ormation Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> WcuSigned by: <br /> Office of the Risk Management Officer aUSX cbl^ln.th Date:4/3/2019 <br /> 7FDCF917e800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Govermnent Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer ll 4 . Date:4/5/2019 <br /> 7NE5181ACC1409. <br /> Le al Services <br /> This agreement is approved as to legal form and sufficiency: <br /> UacuSigned by: <br /> Office of the County Attorney ,� t.S NA, Date:4/5/2019 <br /> 328DC480549A4F5.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.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 /> 12 <br />