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02, 01q - 510 <br /> ORANGE COUNTY- - - DEPARTMENT USE ONLY- - -HARD COPY ONLY <br /> Department <br /> Party/Vendor Name : Cedar Grove Neighborhood Association Party/Vendor Contact Person : Dr . Carrie Sue <br /> Florence Contact Phone : (919) 245 - 2640 Party/Vendor Address : 5800 NC86 North/P . O . Bo , City Hillsborough <br /> State : NC Zip : 27278 Department $ Housing Amount : $ 91 , 347 Purpose : Operation of the Cedar Grove <br /> Community Center Budget Code (s ) : 10495020 - 720280 Vendor 9 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No ® Contract Type : ( Check one) New ❑ Renewal ® Amendment ❑ Effective <br /> Date August 1 , 2019 Approved by Board Yes ❑ No ® Agenda Date : N/A <br /> This agreement is approved as to to i 1 form o t : <br /> Department Director ' s Signature Date : <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 /> Office of Risk Management ZQ4 Date . Z <br /> FinanciA Services <br /> This instrument has been pre - audited in the a err q d by the Local Government Budget and Fiscal Control <br /> Act : <br /> J <br /> Office of the Chief Financial Officer Date : <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency : <br /> Office of the County Attorney � t,( � �{� �> u*-- Date : ; ; ri <br /> Clerk to the Board <br /> Received for record retention : <br /> Office of the Clerk to the Board Date : I 1 <br /> ts S66M, <br /> Revised 10/ 17 V <br /> she* <br /> somck <br />