HomeMy WebLinkAboutR 2017-068-E ED - Infinity Holistic Healthcare, PLLC - Business Investment Grant Agreement DocuSign Envelope ID:6DC55E45-5725-4642-990E-E7E61719EE79
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Infinity Holistic Healthcare, PLLC Party/Vendor Contact Person: Nicole Dinezza
Contact Phone: 919-238-4094 Party/Vendor Address: 1289 N. Fordham Blvd, Ste E3 City Chapel Hill
State: NC Zip: 27514 Department: Economic Development Amount: $2,500.00 Purpose: Business
Investment Grant Award Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new vendor)
Vendor is a BOCC consultant? Yes n No ® Contract Type: (Check one) New ® Renewal El
Amendment ❑ Effective Date January 31, 2017 Approved by Board Yes ❑ No ❑ Agenda Date:
This agreement is approved as to techni a of i fidr ontent:
t
g4.444ity 2/8/2017
Department Director's Signature 37BD4EFAC1BE410... 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
Docu5i ned b
This agreement is approved for sufficiency o nsu nc�'stg ndards, specifications, and requirements:
QtASL V'tAA.A1'b 2/9/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal
DocuSigned by:
Control Act:
Office of the Chief Financial Officer Date: 2/10/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to eg 41.61`Phe 41d sufficiency:
,J°'"t,S Drrk, 2/11/2017
Office of the County Attorney 328DC480549A4F5... Date:
Clerk to the Board
Received for record retention: All DocuSign contracts must be copied to Donna Lloyd upon completion
@ Dolloyd@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:
OCEDbiga June 2016