HomeMy WebLinkAboutR 2015-616-E ED - Jillian Mickens dba Open Door Farm - Agricultural Grant Agreement DocuSign Envelope ID:447F8F1E-35AE-4880-BAFO-5OB62E21648E
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Jillian Mickens DBA Open Door Farm Party/Vendor Contact Person: Jillian Mickens
Contact Phone: 919-889-1299 Party/Vendor Address: 3116 Carr Store Road City Cedar Grove State: NC Zip:
27231 Department: Economic Development Amount: $9,691.00 Purpose: Agricultural Grant award Budget
Code(s): 34600020-900050 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 12/3/15 Approved by Board
Yes❑No❑ Agenda Date:
This agreement is approved as to tec �o ifeglid content:
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Department Director's Signature Date: 12/3/2015
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 itaswiwwaMandards,specifications,and requirements:
Q�ISArbvwc 1t0 12/7/2015
Office of the Risk Management Officer �9sFS �ea9a9s Date.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer � � Date: 12/7/2015
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Legal Services
This agreement is approved as to(+q�WfvffiwrAftx1 sufficiency:
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Office of the County Attorney auxS Date: 12/8/2015
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d )oran ecountvnc.g
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date: