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DocuSign Envelope ID:08A2B2DB-4947-4CCE-9B2F-75EF67B09402 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: City of Mebane Party/Vendor Contact Person: Chris Rollins Contact Phone: <br /> Party/Vendor Address: 106 E. Washington Street City Mebane State: NC Zip: 27302 Department: Economic <br /> Development Amount: $1,432.30 Purpose:Article 46 Collaborative Outreach Budget Code(s): 34600020-900046 <br /> Vendor#9021 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date 8/12/20 Approved by Board Yes❑No® Agenda Date: <br /> 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—"y` 412112021 <br /> Department Director's Signature �Sx`"` 0-Y Date: <br /> �'37H6dEFAZ46 _. <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 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 /> °(ASa 1A 3g//'�tl5y 0 4/21/2021 <br /> Q <br /> Office of the Risk Management Officer I_ � 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 /> °oc"Sig—by: <br /> Office of the Chief Financial Officer o �" Date:4/22/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Sig—by: 4/22/2021 <br /> Office of the County Attorney 34"rtuw Date: <br /> ENh.E33EBBf3�E5.. <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 />