HomeMy WebLinkAboutR 2020-266 Economic Dev - Father's On the Move Inc. OCBI grant DocuSign Envelope ID: EE39B336-894E-4DBF-B7E5-901D9FOB61CA
Inc. Agreement
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Father's On the Move,Inc. Party/Vendor Contact Person: Victor Glover Contact Phone: 919-
338-9563 Party/Vendor Address: PO BOX 16272 City Chapel Hill State:NC Zip: 27516 Department: Economic
Development Amount: $6,500 Purpose: Business Investment Grant Budget Code(s): 34600020-900051 Vendor#
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New
Renewal ❑ Amendment ❑ Effective Date April 20,2020 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by'.
4/22/2020
Department Director's Signature 54vs 9I� Date:
373D4EFAME410...
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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 standardq_ gnecifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer aUS66 1,6 6 Date:4/22/2020
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer � Date: 4/23/2020
7NE5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney
b� K6kG, S Date: 4/24/2020
CEAAM3aED&AW5
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon 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:
Revised 11/19