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DocuSign Envelope ID: ED39F52C-B5FE-46A8-9BB7-8F7CF4935EA5 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Aret6 Float Tank and Personal Optimization Center, LLC Party/Vendor Contact Person: <br /> Jennifer Ellis Contact Phone: 919-636-9899 Party/Vendor Address: 203 E. Carr St. City Carrboro State:NC Zip: <br /> 27510 Department:Economic Development Amount:$5,000 Purpose:Business Investment Grant Budget Code(s): <br /> 34600020-900051 Vendor#64976 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 1/25/21 Approved by Board Yes❑No <br /> ® Agenda Date:N/A <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 /> D. 5g Y' 1/25/2021 <br /> Department Director's Signature� p^g gXl`" 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 <br /> was addressed: N/A <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 /> 1 mset(tnu flo <br /> Office of the Risk Management Officer 111111 Date:112512021 <br /> �veera�aesse�ee.. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> 5i9 dby: 112512021 <br /> Office of the Chief Financial Officer [ 0 Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ° Sig-by: 1/26/2021 <br /> Office of the County Attorney J411 r6� Date: <br /> EM.T]33E°BAHPnl.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 <br />