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DocuSign Envelope ID:C929F4B4-6768-433A-9B93-07F9324936F7 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Coon Rock Farm, LLC Party/Vendor Contact Person: Jamie Holcomb Contact Phone: 919- <br /> 426-1622 Party/Vendor Address: 1101 Dimmocks Mill Road City Hillsborough State:NC Zip:27278 Department: <br /> Economic Development Amount:$7841.00 Purpose:Ag Economic Development Grant Budget Code(s):34600020- <br /> 900050 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 1/25/21 Approved by Board Yes❑No® Agenda <br /> Date:N/A <br /> This agreement is approved as to technical form and content: <br /> D. Sig-by 1/26/2021 <br /> Department Director's Signature 5U."g`" `� Date: <br /> e eea�uc n;Enro... <br /> Information Technolouies <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 Manauement <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> ° s'g E by <br /> Qlisa(ovwc}Io <br /> Office of Risk Management�,�..ae ,e Date: 1/26/2021 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ss 1/26/2021 <br /> Office of the Chief Financial Officer <br /> E Date: <br /> cs��ieiRxiaas... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ° ssadby: 1/27/2021 <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />