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DocuSign Envelope ID:5DDBFBOF-7448-486A-A840-A3362B82AOFD <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Megan P Heriford DBA Triple Creek Quail Party/Vendor Contact Person: Megan P Heriford <br /> Contact Phone: 919-218-0195 Party/Vendor Address: 5201 Nicks Rd City Mebane State: NC Zip: 27302 <br /> Department: Economic Development Amount: $6,950.00 Purpose: AG Economic Development Grant Budget <br /> Code(s): 34600020-900050 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 4/18/22 Approved by Board <br /> 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 /> ig 4/18/2022 <br /> Department Director's Signature L.Sg^'" Date: <br /> .fiBUaEFF.,fBEbl <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 /> o Sig de,.: 4/19/2022 <br /> Office of the Risk Management Officer Ql�sa Date: <br /> ��FesFel,sere��e�a�.b <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°°""'" 4/19/2022 <br /> Office of the Chief Financial Officer� Date: <br /> rcises Is Izc�.,la��s... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> C <br /> o.Signed by: 4/19/2022 <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 07/20 <br />