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DocuSign Envelope ID: D106E3D7-BB4D-44E7-ACFB-843C4llB8738 <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: 27502 Department: DEAPR Amount: $2,455.95 <br /> Purpose: Amusements for Community Egg Hunt Event Budget Code(s): 10511020-630000 Vendor# 62960 (N/A if <br /> new 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 /> QocuSigned by: <br /> SfoctiC 3/13/2020 <br /> Department Director's Signature s��cFn1Ds07Aa9s... Date: <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: David P. Stancil,DEAPR Director <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 sufficientt _W' cusigned by: As,specifications,and requirements: <br /> aUsa ( ��6 3/13/2020 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> '�'�� 3/13/2020 <br /> Office of the Chief Financial Officer ` I D4 81ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as t, UocuSigned by: .1ciency: <br /> � <br /> Office of the County Attorney 66A, K6 Date: 3/13/2020 <br /> EAA3033E08AE4n"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 11/19 4 <br /> P os <br /> CS <br />