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DocuSign Envelope ID:CBB51545-11D6-4E22-9179-EB9B1E1AB2BF <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Inflate-A-Party Party/Vendor Contact Person: Jeff Kelly Contact Phone: 919-740-2429 <br /> Party/Vendor Address: 11781 HWY. 64 City Apex State: NC Zip: 27523 Department: DEAPR-Recreation Amount: <br /> 1 796.90 Purpose: Halloween Spooktacular Budget Code(s): 10511020-630000 Vendor # 62960 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> q��� �f��L DocuSigned by: r <br /> yl <br /> Department Director's Signature Date:9/18/2019 <br /> 611CFA1D507A405.. <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <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 sufficient DocuSigpned by: rds, specifications,and requirements: <br /> aUsa ( Q� 6 9/23/2019 <br /> Office of the Risk Management Office 7FDCF9176800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited i1I <br /> DocuSigned by: the Local Government Budget and Fiscal Control Act: <br /> q�,s� 41 9/24/2019 <br /> Office of the Chief Financial Officer7D4EE51s1AMA0s. Date: <br /> Legal Services <br /> This agreement is approved as b DocuSigned by: lclency: <br /> � <br /> Office of the County Attorney 66A, K6k '6 Date:9/24/2019 <br /> EAA3D33ED8AE4n"5.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 /> Revised 12/18 4 <br /> P Ds <br /> CS <br />