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DocuSign Envelope ID:4159E1C2-9167-43EE-A193-7E8BE6C83EE8 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Bread & Circuses, LLC Party/Vendor Contact Person: Lana Pierce Contact Phone: 919- <br /> 236-9265 Party/Vendor Address: 114 W.King St. City Hillsborough State:NC Zip:27278 Department:Economic <br /> Development Amount: $6,500.00 Purpose:Business Investment Grant Budget Code(s): 34600020-900051 Vendor <br /> #66163 (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 /> Department Director's Signature 40 j94" Date: 4/23/2020 <br /> 37BD4EFAC1BE410... <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 incnrnnce ctnntinrd, cnecifications,and requirements: <br /> DocuSigned by: <br /> �_17FDCF9176800498 <br /> Usa (b b 4/23/2020 <br /> Office of the Risk Management Officer Date: <br /> . <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer � � Date: 4/24/2020 <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal fe* DocuSigned by_i_ <br /> Office of the County Attorney �EAVMaEDSAW5 <br /> 6�, � kkGs Date: 4/24/2020 <br /> ... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg sollkoran e�ync.gov The <br /> 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 />