Orange County NC Website
DocuSign Envelope ID:621EF50B-7F6F-4CA4-A9F3-B998363D7E8B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Black Girl Group LLC Party/Vendor Contact Person: Stephanie Caudle Contact Phone: 919- <br /> 930-7213 Party/Vendor Address: 233 Erwin Road Unit C City Chapel Hill State: NC Zip: 27514 Department: <br /> Economic Development Amount: $5,000 Purpose:Business Investment Grant Budget Code(s): 34600020-900051 <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 5/3/21 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 /> D S'g d by <br /> g1k,z1 5/3/2021 <br /> Department Director's Signature ,o„ Date: <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: N/A <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 /> Z <br /> CbVU kN Signedby: 5/3/2021 <br /> Office of the Risk Management Officer Date:OCF91}Etl00G98- <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> D Signedby: 5/3/2021 <br /> Office of the Chief Financial Officer E. Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSignedby: 5/4/2021 <br /> Office of the County Attorney Date: <br /> �D63Ud3E6318'A65... <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 />