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cox-1 -50( <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Triangle J Council of Governments PartyNendor Contact Person: Joan Pellettier Contact <br /> Phone: 919-549-0551 Party/Vendor Address: 4307 Emperor Blvd., Suite 110 City Durham State:NC Zip: 27703 <br /> Department:Aging Amount: $562,848 Purpose:Home and Community Care Block Grant for Older Adults Budget <br /> Code(s): 10430105, 10432005, 10435005 Vendor# 5855 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 07/01/14 <br /> Approved by Board Yes No❑ Agenda Date: 06/03/14 <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: 9%2 <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 <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of Risk Management ae,j � Date: 5'//7//Y <br /> Financial Services <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 v` /"` 41A_-, e It/Date: <br /> Legal Services <br /> This agreement is approved as to legal f. rak and sufficiency: <br /> Office of the County Attorney \ Date: qz..4l`{' <br /> Clerk to the Boar. <br /> Received for record retention: <br /> Office of the Clerk to the Board / / Date: 50 / ( <br />