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DocuSign Envelope ID: 106478AD-8769-47BD-8163-F7A58CA0212C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: The Picnic Basket Catering Party/Vendor Contact Person: Christine Tuozzo Contact Phone: 919-490- <br /> 5796 Party/Vendor Address: 1508 E Franklin St City Chapel Hill State:NC Zip:27514 Department: Housing and Community <br /> Development Amount: $200,202.00 Purpose: FEMA Emergency Sheltering Non-Congregate Care Feeding Budget Code(s): <br /> 10750020-630000-95020 Vendor#639000 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 4/30/2021 Approved by Board Yes❑ No® <br /> Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project <br /> has not been initiated prior to execution of the agreement: <br /> aftf'1943B401 <br /> ned by: <br /> B*a. 4/30/2021 <br /> Department Director's Signatur Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienc o Mm ' Vln�98ys'taandards, specifications,and requirements: <br /> Q11Sa & 5/3/2021 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited i 4mff%ndttquired by the Local Government Budget and Fiscal Control Act: <br /> LI7D.-N ,� s. 5/3/2021 <br /> Office of the Chief Financial Officer4Es181ACc14o9... Date: <br /> Legal Services <br /> This agreement is approved as t #m,%Rd sufficiency: <br /> lA aa,t, Auk, Tbso 5/3/2021 <br /> Office of the County Attorney p79Ad 1595COFdFR 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 October 2020 <br />