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DocuSign Envelope ID:7E73EEAE-E7DB-429E-8543-26FA84069D6C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: ACME FOOD&BEVERAGE COMPANY Party/Vendor Contact Person: Francesca Mason <br /> Contact Phone: 919-270-3597 Party/Vendor Address: 110 E Main Street City Carrboro State: NC Zip: 27510 <br /> Department: Economic Development Amount: $7,000 Purpose: Business Investment Grant Budget Code(s): <br /> 34600020-900051 Vendor#49419 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 1/28/21 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 /> 1/28/2021 <br /> Department Director's Signature� aB 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 /> a""...... o 1/28/2021 <br /> Office of the Risk Management Officer C,F�s�,,,.. 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 /> " 1/28/2021 <br /> Office of the Chief Financial Officer � n Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> 7 4: 1/29/2021 <br /> Office of the County Attorney EIE e Ko Date: <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 />