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DocuSign Envelope ID:C4CCDCF2-B7F3-4C59-84FC-FB860C374667 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Mary Ann Rozear Party/Vendor Contact Person: Mary Ann Rozear Contact Phone: <br /> (919)414-1890 Party/Vendor Address: 604 Duluth St City Durham State: NC Zip: 27705 Department: County <br /> Manager Amount: 3300.00 Purpose: Annual Rent for Eno Mill Artist Studios Budget Code(s): 37601003-470508- <br /> 71390 Vendor N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check <br /> one)New❑ Renewal ❑ Amendment ❑ Effective Date 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 /> {.Docusigned by: <br /> Department Director's Signature l V'GWUS VAC 1�1 Date: 3/23/2020 <br /> Agreements for emergency services or rep, aA3Ea,B12e364B4... ie 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 /> Docu5igned_by: <br /> '�t <br /> Office of the Risk Management Officer aUS66 (,bvwc,li6 Date:3/23/2020 <br /> 7FDCF9176900498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Docusigned by: <br /> Office of the Chief Financial Officer <br /> 4 � Date: 3/29/2020 <br /> 704E5981ACC1409... <br /> Legal Services <br /> This agreement is approved as to leeal form and sufficiency: <br /> Docusigned by: <br /> Office of the County Attorney � �. f Datc: 4/3/2020 <br /> 4035CB8304CA4M... <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 <br />