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DocuSign Envelope ID:AA37DFA0-D00B-4783-9360-6B5727099BBF <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: CLINISPAN HEALTH,INC. Party/Vendor Contact Person: Dezbee McDaniel Contact Phone: <br /> 336-552-3839 Party/Vendor Address: 5038 Lesleewood Ct. City: Charlotte State: NC Zip:28226 Department: <br /> Economic Development Amount: $2,500 Purpose: Business Investment Grant Budget Code(s): 34600020-900051 <br /> Vendor#N/A(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 2/2/22 Approved by Board Yes❑No® Agenda Date: <br /> 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 /> S9 dbY <br /> B.z[� 2/4/2022 <br /> I <br /> Department Director's Signature „o�, Date: <br /> Agreements for emergency services or repair arenot 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 /> Sigffb Date:2/4/2022 <br /> LIS`— <br /> Office of the Risk Management Officer (hnl <br /> s neeeeesu_. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> D..Sigmd by: <br /> Office of the Chief Financial Officer Date:2/4/2022 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �`.S,gmd 2/8/2022 <br /> Office of the County Attorney Date: <br /> EMEB9.EEBA84E5... <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 />