Orange County NC Website
- 1}17 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: Valerie Roberts Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 1501 Kirkwood Dr. City Durham State:NC Zip: 27705 Department: Aging Amount: $10,000.00 Purpose: <br /> Bridge Classes Budget Code(s): 10430120-629000 Vendor # 61484 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date <br /> 08/01/14 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: y 4-1 <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 Date: <br /> Risk Management D � @ T 0 T T <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> AUG — 5 2014 <br /> Office of Risk Management Date: <br /> 81 Lo By �►� <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer i�aw A Au, Date: <br /> Lezal Services <br /> This agreement is approved as to legal and s 1ci cy: <br /> Office of the County Attorney Date: T' <br /> Revised 7/14 4 <br />