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DocuSign Envelope ID:A214D2E7-B39B-4063-8863-A9A60A046428 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Split Acre Farm Party/Vendor Contact Person: Joe Tedrow/Lisbeth Rasmussen Contact <br /> Phone: 919-880-5174 Party/Vendor Address: 6700 New Sharon Road City Rou eg mont State: NC Zip: 27572 <br /> Department: Economic Development Amount: $10,000 Purpose: Ag Economic Development Grant Budget <br /> Code(s): 34600020-900050 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No X❑ Contract Type: (Check one)New X❑ Renewal ❑ Amendment ❑ Effective Date August 13, 2019 <br /> Approved by Board Yes❑NoX❑ Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signays F► � Date:8/28/2019 <br /> CW3NEFAC1BE410. <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 /> UocuSigned by: <br /> Office of Risk Managem �usa&M b Date:9/11/2019 <br /> 7MCF9170800498.. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: UocuSigned by: <br /> Office of the Chief Financial Offi <br /> CC A " Date:9/12/2019 <br /> 7NE5181ACC1400- <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> UocuSigned by: <br /> Office of the County Attor ,� GS i9 u Date: <br /> 9/12/2019 <br /> 328DC480549A4F5.. <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />