HomeMy WebLinkAboutR 2016-475-E ED - Quantworks, Inc. - Business Investment Grant Agreement DocuSign Envelope ID:9869FE04-E616-4197-8F91-615B920DBC72
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Quantworks, Inc. Party/Vendor Contact Person: Nick Ghitelman Contact Phone: 919-923-
4469 Party/Vendor Address: 976 Martin Luther King, Jr. Blvd, Suite 250 (J, K, L, M) City Chapel Hill State: NC
Zip: 27514 Department: Economic Development Amount: $5,000.00 Purpose: Business Investment Grant
Award 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 August 16, 2016
Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to technical form and content:
Docu5igned by:p,-.
�� �'�''"x 8/21/2016
Department Director's Signature uuQ4EFAC1 BE410_. Date:
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,o IY%6 `cV:standards, specifications, and requirements:
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Office of the Risk Management Officer Q�isa Date: 8/22/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
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Office of the Chief Financial Officer 1ACC1409... Date: 8/22/2016
Legal Services
This agreement is approved as to(7i9PT&M'�'-d sufficiency:
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Office of the County Attorney i9RfH14snS4Q�FS Date: 8/23/2016
Clerk to the Board
Received for record retention:
All DocuSign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a)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: