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DocuSign Envelope ID: DB535E02-8F97-40C8-B204-CC7DE6B33588 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Sam's Barbecue & Chop House, LLC Party/Vendor Contact Person: Sam Suchoff Contact <br /> Phone: 919-636-2005 Party/Vendor Address: 630 Weaver Dairy Rd. Suite 101 City: Chapel Hill State: NC Zip: <br /> 27514 Department:Economic Development Amount:$7,500 Purpose:Business Investment Grant Budget Code(s): <br /> 34600020-900051 Vendor#61755 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/28/20 Approved by Board Yes❑ <br /> 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 /> o s9 dby: 10/28/2020 <br /> Department Director's Signature�" g"° Date: <br /> 3/HWEFAC'fB <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 /> by: 10/28/2020 <br /> Q(aSa oVLu{fA <br /> Office of the Risk Management Officer� Date: <br /> FUCF9118IDJL@B6_ <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> o s'g etl by <br /> Office of the Chief Financial Officer 0" Date: 11/2/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> oo��s�e111, <br /> Office of the County Attorney F �O'tA Date: 111212020 <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 />