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DocuSign Envelope ID: E51FEDB4-DE67-4E2D-A34B-153D3BEADB7E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name:BORO BEVERAGE COMPANY,LLC Party/Vendor Contact Person: Carly Erickson Contact <br /> Phone: Party/Vendor Address: 400 W. Rosemary St., Suite 1005 City Chapel Hill State: NC Zip: 27516 <br /> Department: Economic Development Amount: n/a Purpose: Amendment to Orange County Loan & Security <br /> Agreement and PROMISSORY NOTE Code(s):48100001-450072 Vendor# (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective <br /> Date 12/29/20 Approved by Board Yes❑No® 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 /> Department Director's Signature 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: <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 /> Office of the Risk Management Officer 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 /> 1/5/2021 <br /> Office of the Chief Financial Officer [ e� t Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> caignee <br /> �� 4: 1/5/2021 <br /> Office of the County Attorney �e <br /> . 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 />