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OCEDbiga June 2016 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />_____________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Everly's, LLC Party/Vendor Contact Person: Everly Evans Contact Phone: 336-524- <br />4964 Party/Vendor Address: PO Box 2245 City Burlington State: NC Zip: 27216 Department: Economic <br />Development Amount: $7,500.00 Purpose: Business Investment Grant Award Budget Code(s): <br />34600020-900051 Vendor #65479 (N/A if new vendor) Vendor is a BOCC consultant? Yes No <br />Contract Type: (Check one) New Renewal Amendment Effective Date February 5, 2020 <br />Approved by Board Yes No Agenda Date: N/A <br />This agreement is approved as to technical form and content: <br /> Department Director’s Signature ________________________________________ Date: ________ <br />Information Technologies <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed <br />and is 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 manner required by the Local Government Budget and Fiscal <br />Control 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 <br />Received for record retention: All DocuSign contracts must be copied to Sherri Ingersoll upon <br />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 />DocuSign Envelope ID: 7E7FBA29-5611-4E7A-AD37-3FCB296ABE6D <br /> <br /> <br /> <br />