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DocuSign Envelope ID: 14BC5CDB-1AOF-4C50-9902-5CC72E88CD31 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: sunshine lavender farm LLC Party/Vendor Contact Person: Annette G. Baggett Contact <br /> Phone: 919-414-4982 Party/Vendor Address: 4104 Millstone Road City Hurdle Mills State: NC Zip: 27541 <br /> Department:Economic Development Amount: $7,841 Purpose:Ag Economic Development Grant Budget Code(s): <br /> 34600020-900050 Vendor#N/A (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: <br /> 1/29/2021 <br /> Department Director's Signature �S' `B `y Date: <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 /> '� 1/29/2021 <br /> QGsa(aviu#fe <br /> Office of Risk Management C,F�s„��,a.. 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 /> 2/1/2021 <br /> Office of the Chief Financial Officer A Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Kobwfs 21212 021 <br /> Office of the County Attorney� ,s„ Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />