Orange County NC Website
Browse       Search
ORANGE COUNTY—DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department 91 <br /> Susad q <br /> Party/Vendor Name: UPC_ Party/Vendor Contact Person: Co act Ph e:4%5q uP�artyNe Address: <br /> City State: Zip: Department: oun ./OTO O�o P ose: r,+Budget 43Sv4\ <br /> Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC co�}sultant? Yes ❑ No5d Contract X51 aa� <br /> Type: (Check one)New K Renewal ❑ Amendment ❑ Effective Dated Approved by Board Yes❑No <br /> Agenda Date:_Mjq <br /> This agreement is approved as to technic form an ontent: // <br /> Department Director's Signature Date: 7 Z9--�7 <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Director of Information Technology NA Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: ;,JUL <br /> Office of Risk Management (��� Date: 3 O 2014 <br /> Financial Services <br /> By ::::P`A,� <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> -1130 <br /> LeLyal Services <br /> This agreement is approved as to legal fora an ency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 7/14 <br /> 8 <br />