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DocuSign Envelope ID:73E72264-CDF9-4A02-A200-62A1 E2867775 <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: Housing and Community <br /> Development Amount: 21,228.00 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: (Check <br /> one)New❑ Renewal ❑ Amendment ® Effective Date 5/07/2021 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project <br /> has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> e44Aa B*a►401 5/10/2021 <br /> Department Director's Signature ,Fr.RrAQr AQ43Pt Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufflcienc lfgh'IPO ' ' tandards, specifications,and requirements: <br /> &0. (h uN 5/10/2021 <br /> Office of the Risk Management Officer 7FDCF917s800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in 00quired by the Local Government Budget and Fiscal Control Act: <br /> el,N 0.116. 5/10/2021 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as to b ;►,wW:sufficiency: <br /> Qb kul Awil, U(h 5/10/2021 <br /> Office of the County Attorney 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 October 2020 <br />