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DocuSign Envelope ID:4729DCC8-EFB1-4B37-8403-94D3867C141B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Acta Solutions LLC Party/Vendor Contact Person: Tai Hum Contact Phone: 919-537-9711 <br /> Party/Vendor Address:306 W Franklin Street Suite F City Chapel Hill State: SC Zip:27516 Department:Economic <br /> Development Amount: $2,500.00 Purpose:Business Investment Grant Budget Code(s):34600020-900051 Vendor <br /> #N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal ❑ Amendment ❑ Effective Date April 27,2020 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 /> 4/27/2020 <br /> Department Director's Signaturevt 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 inciirnnpe ctnntinrrlc enecifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer �USa c6V1n. & Date: 4/29/2020 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner renllired by the r.ne 1 Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> 4/30/2020 <br /> Office of the Chief Financial Officer `�' " Date: <br /> 704E51S1ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form anti crlffic;encv <br /> DocuSigned by: <br /> Office of the County Attorney �6� Pkk , 5 Date: 4/30/2020 <br /> EAAM33EMAW5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.govThe <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 />