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DocuSign Envelope ID: B39C5126-32C2-40FD-BE1C-AFA6E06183E7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: CAROLINA CAR WASH&DETAIL, INC. Party/Vendor Contact Person: Thomas Tucker <br /> Contact Phone: 919-929-9122 Party/Vendor Address: 414 E. Main St. City Carrboro State: NC Zip: 27510 <br /> Department: Economic Development Amount: $5,000 Purpose: Business Investment Grant Budget Code(s): <br /> 34600020-900051 Vendor#43704 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 4/30/21 Approved by Board Yes❑No <br /> ® 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 /> Sig—by: 5/3/2021 <br /> Department Director's Signature LDate: <br /> dEFALI8Ed1°... <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 /> 3i9 5/3/2021 <br /> Office of the Risk Management Officer S&(,ov 6 Date: <br /> Z�F� <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ° Sig..d by: <br /> Office of the Chief Financial Officer �"" '" Date: 5/3/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> 3i9° by. 5/4/2021 <br /> Office of the County Attorney 36�`"'Att �Obs Date: <br /> Y 33E°BAIWfiS_ <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 />