HomeMy WebLinkAboutR 2018-198 Economic Dev - Fork in the Road LLC OCBI grantOCEDbiga June 2016
ORANGE COUNTY—DEPARTMENT USE ONLY
_____________________________________________________________________________
Department
Party/Vendor Name:Fork in the RoofLLCParty/Vendor Contact Person: Vince Tesoro IIContact
Phone: 919-971-5750Party/Vendor Address: PO Box 1264City HillsboroughState: NCZip: 27278
Department: Economic DevelopmentAmount: $9,000.00Purpose: Business Investment Grant Award
Budget Code(s): 34600020-900051Vendor # N/A(N/A if new vendor) Vendor is a BOCC consultant?
Yes No Contract Type: (Check one) New Renewal Amendment Effective Date May
16, 2018Approved by Board Yes No Agenda Date:
This agreement isapproved as to technical form and content:
Department Director’s Signature ________________________________________ 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 of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal
Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
Received for record retention: All DocuSign contracts must be copied to Sherri Ingersollupon
completion @ Singersoll@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:_________
DocuSign Envelope ID: E8CCAEB0-CBF3-46D5-BFB0-05BC09F00DB4