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DocuSign Envelope ID: EE39B336-894E-4DBF-B7E5-901D9FOB61CA <br /> Inc. Agreement <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Father's On the Move,Inc. Party/Vendor Contact Person: Victor Glover Contact Phone: 919- <br /> 338-9563 Party/Vendor Address: PO BOX 16272 City Chapel Hill State:NC Zip: 27516 Department: Economic <br /> Development Amount: $6,500 Purpose: Business Investment Grant Budget Code(s): 34600020-900051 Vendor# <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal ❑ Amendment ❑ Effective Date April 20,2020 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 /> DocuSigned by'. <br /> 4/22/2020 <br /> Department Director's Signature 54vs 9I� Date: <br /> 373D4EFAME410... <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 <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 standardq_ gnecifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer aUS66 1,6 6 Date:4/22/2020 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer � Date: 4/23/2020 <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney <br /> b� K6kG, S Date: 4/24/2020 <br /> CEAAM3aED&AW5 <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 />