Orange County NC Website
DocuSign Envelope ID:9F4B2061-3993-4845-831B-CD6C7F4C3131 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Franklin Street Yoga Center, Inc. Party/Vendor Contact Person: Lori Hernandez Contact <br /> Phone:919-259-1661 Party/Vendor Address:431 W.Franklin St.,Suite 410 City Chapel Hill State:NC Zip:27516 <br /> Department: Economic Development Amount: $5,000 Purpose: Business Investment Grant Budget Code(s): <br /> 34600020-900051 Vendor#67039 (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 /> DocuSigned by: <br /> Department Director's Signature $ Date: 4/30/2021 <br /> 3revs�xcre <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 /> D c S"g d by: <br /> Office of the Risk Management Officer P <br /> (aSa �ovuu{{b Date: 5/3/2021 <br /> =�=anssggaga <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by <br /> 0.1Q..n. 5/3/2021 <br /> Office of the Chief Financial Officer[7NPAW ,,,,4400 Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ES <br /> -g dby: 5/4/2021 <br /> Office of the County AttorneyDate: <br /> �•733E0& _. <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 />