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DocuSign Envelope ID:62810B5A-E201-4949-9DFE-C4796A934C63 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Hope Renovations Party/Vendor Contact Person: Nora Spencer Contact Phone:919-921-8460 <br /> Party/Vendor Address: 3807 NC Hwy 54 W. City Chapel Hill State: NC Zip: 27516 Department: Economic <br /> Development Amount:$5,000.00 Purpose:Business Investment Grant Budget Code(s):34600020-900051 Vendor <br /> #66167(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 4/30/21 Approved by Board Yes❑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 /> 5/5/2021 <br /> Department Director's Signature Sx" g"`" '" Date: <br /> �a+eeeeen_ieesie_. <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 /> QUs (pwuffa 5/5/2021 <br /> Office of the Risk Management OfficerC,Foa,F­0. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> 9�by: 5/6/2021 <br /> Office of the Chief Financial Officer �""�"'° Date: <br /> ioae,aeineeieee... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ­Sl�al�in9� by. s 5/7/2021 <br /> Office of the County Attorney ee Date: <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 />