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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: Community Home Trust Party/Vendor Contact Person: Contact Phone: <br /> Party/Vendor Address: City State: Zip: Department: Amount: Purpose: <br /> Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No <br /> ❑ Contract Type:(Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board <br /> Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: <br /> "ItrfaatiQn Technologies <br /> (Applicable only to hardware/software purchases or related services) reement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of•insurance standards,specifications,and requirements: <br /> Office of Risk Management 42.z� , ice(-' ��-�T Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget l�sc�C�nt�l L'l <br /> Act: n� n u <br /> Office of the Chief Financial Officer �'� �7 ,t✓ // Date: , ` 0 JUL 3 ZO14 <br /> By <br /> Legal Services <br /> This agreement is approved as to legal o d sufficiency: <br /> Office of the County Attorney Date: 1 <br />