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✓, ..,sue <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : Orange Tennis Club Party/Vendor Contact Person : Trevor Wilkerson Contact Phone : <br /> 828 -773 -2296 Party/Vendor Address : 600 South Churton Street City Hillsborough State : NC Zip : 27278 <br /> Department : DEAPR Amount : $ 2 , 000 Purpose : Usage Lease Agreement Budget Code (s) : 10511003474800 <br /> Vendor # (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® Contract Type : ( Check one) <br /> New ❑ Renewal ® Amendment ElEffective Date 9/ 1 /2019 Approved by Board Yes ❑ No ® Agenda <br /> Date . <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement : <br /> Department Director ' s Signature Date : 10 21 I ( °� <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 <br /> was 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 sufficiency of insurance standards, specifications , and requirements : <br /> Office of the Risk Management Officer Date : ' <br /> ]financial Services <br /> This instrument has been pre- audited in the er re (ey the Local Government Budget and Fiscal Control <br /> Act : <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 Date : <br /> Clerk to the Board DWA,A�m � <br /> Received for record retention : <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion : smgersoll@orangecountync . gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts : <br /> rr . � <br /> Office of the Clerk to the Board 6., Date : 1C%y //, y <br /> Revised 12/ 18 <br />