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DocuSign Envelope ID:6A10F812-OB9F-4CDO-8CE1-CD4A52AE5C2E <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Phillip Walker Party/Vendor Contact Person: Phillip Walker Contact Phone: 919-732-7024 <br /> Party/Vendor Address: 4817 Walker Farm Road City Hillsborough State:NC Zip: 27278 Department: Economic <br /> Development Amount: $4,150.10 Purpose: Ag Economic Development Grant Budget Code(s): 34600020- <br /> 900050 Vendor#46204 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No X❑ Contract <br /> Type: (Check one)New X❑ Renewal ❑ Amendment ❑ Effective Date August 13,2019 Approved by Board <br /> Yes❑NoX❑ Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's SignatC!73NEFAC1BE410. <br /> 4vs FIB Date: 9/3/2019 <br /> . <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 /> DocuSigned_by: <br /> '�t <br /> Office of Risk Manage aUS66 �,bvwc,li6 Date:9/4/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Of � s/Jw Date:9/5/2019 <br /> 704E5181ACC1409. <br /> Legal Services <br /> This agreement is approved r h --ifcienc :DocuSigned by: <br /> Office of the County Attor �aGs aJ)u Date:9/5/2019 <br /> 328DC490549A4F5.. <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />