HomeMy WebLinkAboutR 2019-289 Economic Dev - IndyCare LLC OCBI grant DocuSign Envelope ID:65A5A14F-6B86-4DEC-92CB-FA11A8C3DEE5
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: IndyCare, LLC Party/Vendor Contact Person: Franklin Rove Contact Phone: 919-
245-1213 Party/Vendor Address: 110 Boone Square Street, Ste 29 City Hillsborough State: NC
Zip: 27278 Department: Economic Development Amount: $3,500.00 Purpose: Business Investment
Grant Award Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No ® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date May 15,2019 Approved by Board Yes ❑ No ❑ Agenda Date:
This agreement is approved as to techn fe*§VwA bcontent:
Sxwe 194" y 5/15/2019
Department Director's Signature R7Rn4FFA('1HF41n 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 sufficienc gMft M&%standards, specifications, and requirements:
Q�Sa C00 5/21/2019
Office of the Risk Management Officer 7MCF917RAQUAR 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 O`� .1 Arr140 Date: 5/23/2019
7naF51R1
Legal Services
This agreement is approved as to ofiioti sufficiency:
,�a►Mt,S �°jV'�aan, 5/23/2019
Office of the County Attorney Date:
Clerk to the Board
Received for record retention: All DocuSign contracts must be copied to Sherri Ingersoll upon
completion @ Sin erg sollkoran.eg cam, c..ov
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