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DocuSign Envelope ID:65B94D1F-68E4-4AF1-99D2-D1D9D048E586 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Young Founders Institute LLC Party/Vendor Contact Person: William Henry Contact Phone: <br /> (937) 478-2871 Party/Vendor Address: 306 W. Franklin St. Ste. F City Chapel Hill State: NC Zip: 27514 <br /> Department: Economic Development Amount: $5,000 Purpose: Business Investment Grant Budget Code(s): <br /> 34600020-900051 Vendor#65875 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 1/27/21 Approved by Board Yes❑No <br /> ® Agenda Date:N/A <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> ° Sig—by 1/28/2021 <br /> Department Director's Signature "'0 g"" Date: <br /> Z�]fBINEER..tEE4 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: N/A <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> ° ss deY IL(Asaanu$e 1/28/2021 <br /> ( <br /> Office of the Risk Management Officer � Date: <br /> rvoersrosssae._ <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Sig—by: 1/28/2021 <br /> Office of the Chief Financial Officer IS ' —&— Date: <br /> 81RLC 19CB.. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ° s9 by: 1/29/2021 <br /> Office of the County Attorney L�""4d� Date: <br /> e�esseasaso es_. <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 />