Orange County NC Website
DocuSign Envelope ID: 153713BC-B356-4AAF-97F9-84400CB7EFF5 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: East Rock Botanicals LLC Party/Vendor Contact Person: Rachael Hurwitz Contact Phone: <br /> 203-430-1881 Party/Vendor Address: 104 Waverly Forest Lane City Chapel Hill State:NC Zip:27516 Department: <br /> Economic Development Amount: $1,500.00 Purpose: Business Investment Grant Budget Code(s): 34600020- <br /> 900051 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 1/26/21 Approved by Board Yes❑No® Agenda <br /> 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 I ft .. Date: 1/26/2021 <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 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 /> ar (6w 6 <br /> 1/27/2021 <br /> Office of the Risk Management Officer C,F C 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 /> 1/29/2021 <br /> Office of the Chief Financial Officer 0-41 ° Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D-Sig-d <br /> : 2/1/2021 <br /> Office of the County Attorney�E��96k 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 />