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can <br /> 1 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : Town of Carrboro Party/Vendor Contact Person : Annette Stone Contact Phone : <br /> Party/Vendor Address : 301 W . Main Street City Carrboro State : NC Zip : 27510 Department : Economic <br /> Development Amount : $ 14 , 415 . 87 Purpose . Article 46 Collaborative Outreach Budget Code (s) : 34600020 - 900046 <br /> Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant ? Yes ❑ No ❑ Contract Type : ( Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 10/31 / 19 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 : <br /> Agreements for emergency services or repair are not subject to the a o e affirmation . If services related to this <br /> agreement have already begun or been completed please briefly descri e 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 a �_ Date : <br /> Financial Services <br /> This instrument has been pre- audited in the ma r r uir by 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 fo an suffI <br /> Office of the County Attorney Date : <br /> Clerk to the Board <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 /> Office of the Clerk to the Board Date : <br /> Revised 12/ 18 <br />