2021-224-Economic Dev-Shamartha Paisant DBA Small People Childcare-Business Investment Grant

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Revised 07/20 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Shamartha Paisant DBA Small People Childcare Party/Vendor Contact Person: Shamartha Paisant Contact Phone: 336-639-6483 Party/Vendor Address: 922 White Rock Church Road City Chapel Hill State: NC Zip: 27517 Department: Economic Development Amount: $5,000 Purpose: Business Investment Grant Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 5/6/21 Approved by Board Yes No Agenda Date: N/A This agreement is approved as to technical form and content and I as Department Director a ffirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director’s Signature ________________________________________ Date: ________ Agreements for emergency services or repair are not subject t o the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A Information Technologies (Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 77649B13-47EB-4566-B703-FCD6CFF9BBBE 5/6/2021 5/6/2021 5/10/2021 5/10/2021