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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Regional Partnership Local Workforce Development Area Party/Vendor Contact Person: <br /> Kathy Slovak Contact Phone: Party/Vendor Address: City State: Zip: <br /> Department: DSS Amount: $293,892 Purpose: Building Futures Program Budget Code(s): Vendor# <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br /> Renewal ® Amendment ❑ Effective Date 07/01/14 Approved by Board Yes® No❑ Agenda Date: <br /> 10/07/14 <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature cA Date: tokaj I j <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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requiremen (� <br /> Office of the Risk Management Officer Date: <br /> 101Z3 OCT 22 2014 <br /> Financial Services By <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 1�1. ,t� pt""' Date: 1t 1/ /y <br /> Legal Services <br /> This agreement is approved as to legal o an s ciency: <br /> Office of the County Attorney Date: i L1111t <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydna oran ecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br />