HomeMy WebLinkAboutR 2016-476-E ED - Pizzelle - Business Investment Grant Agreement DocuSign Envelope ID:A3E5E1DD-BC39-44A8-80CE-3AA874F4C156
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Pizzelle Party/Vendor Contact Person: Kelly Taylor Contact Phone: 919-649-8920
Party/Vendor Address: 306 W. Franklin Street City Chapel Hill State: NC Zip: 27516 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:pp,,--..
Svc $'b�'�`Z` � 8/22/2016
Department Director's Signature z,R�4EEAU.3P1 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:
ov�,t,{�a
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:
s�oss�aorc 8/22/2016
Office of the Chief Financial Officer � Date:
Legal Services
This agreement is approved as t7:.2Zj)C48QQAjof&fMea�'d sufficiency:
Office of the County Attorney Date: 8/23/2016
Clerk to the Board
Received for record retention:
All DocuSign contracts must be copied to Donna Lloyd upon completion @ DolloydCc�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: