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DocuSign Envelope ID:9D2672A1-5D80-4A01-B053-491F18B84281 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Extraordinary Ventures Party/Vendor Contact Person: JD Rust Contact Phone: 828-964-2160 <br /> Party/Vendor Address: 200 South Elliot Road City Chapel Hill State: NC Zip: 27514 Department: Emergency <br /> Services Amount: 5742.00 Purpose:Laundry Services for IFC Residents at Quality Inn Budget Code(s): 10750020- <br /> 63000-95020 Vendor#57543 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: <br /> (Check one)New® Renewal ❑ Amendment ❑ Effective Date 5/12/2020 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 <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature FV w� yffiiGs Date: 5/11/2020 <br /> Agreements for emergency services or repair are not su jec o e a 'ove 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 insurances at&it7ifications,and requirements: <br /> Q�tSa cbV'l�,t,{fb Office of the Risk Management Officer Date: 5/12/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner requir 0*9h" acl Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 0Date: 5/12/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufPe4diwp.igned by: <br /> Office of the County Attorney 40,4 hv,�_ Date: 5/12/2020 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 /> 13 <br />