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DocuSign Envelope ID:4CA69189-7469-45B8-9240-C20CC2COB521 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Night Gallery,Inc. Party/Vendor Contact Person: Pamela Williams Contact Phone: 919-929- <br /> 5755 Party/Vendor Address:201 South Estes Drive,Suite 400C City Chapel Hill State:NC Zip:27514 Department: <br /> Economic Development Amount: $10,000 Purpose:Business Investment Grant Budget Code(s):34600020-900051 <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date 1/26/21 Approved by Board Yes❑No® Agenda Date: <br /> 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 /> by 1/26/2021 <br /> Department Director's Signature � � r Date: <br /> Agreements for emergency services or repair areFAGIEECIO 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 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 Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Ls—� 1/26/2021 <br /> bliss(owuffo <br /> Office of the Risk Management Officer ,1e Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> °°SlgO by: 1/26/2021 <br /> Office of the Chief Financial Officer L ruaEsiei 0 4_ Date: <br /> A��iaeg_. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �I 9410A Date: 112712021 <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 />