HomeMy WebLinkAboutR 2015-618-E ED - Amy Scott dba Scott Family Farm - Agricultural Grant Agreement DocuSign Envelope ID:OF5507OA-05F7-4558-9A34-49CD6AF5FA5C
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Amy Scott DBA Scott Family Party/Vendor Contact Person: Amy Contact
Phone: 919-215-9155 Party/Vendor Address: 3820 Cedar Run Ct City Efland State: NC Zip: 27243
Department: Economic Development Amount: $1,000.00 Purpose: Agricultural Grant award Budget
Code(s): 34600020-900050 Vendor#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 to &@JAqrm_mad content:
Department Director's Signature Sic $zas•� 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 mfiat,,b §:tandards,specifications,and requirements:
Q�ISArbvwc 1t0 12/7/2015
Office of the Risk Management Officer �.e t..aooa 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 ('D4 e1ACC1409. Date: 12/7/2015
Legal Services
This agreement is approved as to PfMW06 sufficiency:
,�auxt,S j�jV' a.ln,
Office of the County Attorney &DGA �F5 Date: 12/8/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&)orffl1geco1mjync.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: