Orange County NC Website
DocuSign Envelope ID: B7624FC1-032D-41E7-BO6C-7AO8CADAFF83 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Be Pure,Inc. Party/Vendor Contact Person: April Kensington Contact Phone: 919-886-1043 <br /> Party/Vendor Address: 200 N. Greensboro, Suite A8 City Carrboro State:NC Zip: 27510 Department: Economic <br /> Development Amount: $5,000 Purpose: Business Investment Grant Budget Code(s): 34600020-900051 Vendor# <br /> 64991 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 5/3/21 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 /> ° 69 tley 5/6/2021 <br /> Department Director's Signature Date: <br /> �a�a°xErrt..iaEaie_. <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 /> ° '�eby&Q(Asx �VLu <br /> Office of the Risk Management Officer s9( Date: 5/6/2021 <br /> rFee5a1�.;e:ea._ <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—by:Office of the Chief Financial Officer E 0—.& '" Date: <br /> 5/10/2021 <br /> i61E5181#E6'Ii59.. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ° sE by <br /> Office of the County Attorney �0�`"r6kyw Date:5/10/2021 <br /> E:�.3633EB":.o:05.. <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 />