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DocuSign Envelope ID:6D7ED599-91FF-43AF-9C2F-3897F7360AC8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: The Carolina Club Party/Vendor Contact Person: JJ Oppegard,Private Events Director Contact <br /> Phone: (919) 843-8188 Party/Vendor Address: PO Box 111 City Chapel Hill State: NC Zip: 27514-0111 <br /> Department: Econ.Dev./Visitors Bureau Amount: $2,395.00 Purpose: event room for March Madness event on March <br /> 12,2020 Budget Code(s): 37600520-685003 Vendor#40042 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 03/12/2020 <br /> Approved by Board Yes❑No® Agenda Date:N/A <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 /> DocuSigned by: <br /> Department Director's Signature S4ve ��ss. Date: 2/28/2020 <br /> Agreements for emergency services or 373D4EFAC16E4i0... t 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 sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer QU56 (,DV1n 6 Date: 2/28/2020 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner rernrired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer '� Date: 3/2/2020 <br /> 704E51S1ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal F UoeuSigne y,-4---Y <br /> Office of the County Attorney_:�EAAM3aEDSAW5 <br /> 6� K6kk 5 Date:3/3/2020 <br /> . <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 11/19 4 <br />