Orange County NC Website
DocuSign Envelope ID:65A5A14F-6B86-4DEC-92CB-FA11A8C3DEE5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: IndyCare, LLC Party/Vendor Contact Person: Franklin Rove Contact Phone: 919- <br /> 245-1213 Party/Vendor Address: 110 Boone Square Street, Ste 29 City Hillsborough State: NC <br /> Zip: 27278 Department: Economic Development Amount: $3,500.00 Purpose: Business Investment <br /> Grant Award Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No ® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date May 15,2019 Approved by Board Yes ❑ No ❑ Agenda Date: <br /> This agreement is approved as to techn fe*§VwA bcontent: <br /> Sxwe 194" y 5/15/2019 <br /> Department Director's Signature R7Rn4FFA('1HF41n Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed <br /> and is 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 sufficienc gMft M&%standards, specifications, and requirements: <br /> Q�Sa C00 5/21/2019 <br /> Office of the Risk Management Officer 7MCF917RAQUAR Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: DOCUSigned by: <br /> Office of the Chief Financial Officer O`� .1 Arr140 Date: 5/23/2019 <br /> 7naF51R1 <br /> Legal Services <br /> This agreement is approved as to ofiioti sufficiency: <br /> ,�a►Mt,S �°jV'�aan, 5/23/2019 <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: All DocuSign contracts must be copied to Sherri Ingersoll upon <br /> completion @ Sin erg sollkoran.eg cam, c..ov <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 /> OCEDbiga June 2016 <br />