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DocuSign Envelope ID: E6DE1BE9- E862- 4A9D- 8B00- 08AB81A8942A <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Cumberland Community Action Program, Inc. Party/Vendor Contact Person: Jodi Phelps <br />Contact Phone: (910)485 -6131 Party/Vendor Address: P O Box 2009 City Fayetteville State: NC Zip: 28302 <br />Department: Aging Amount: $7,222 Purpose: Volunteer Income Tax Assistance Budget Code(s): 10434005- <br />448905 Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br />(Check one) New ❑ Renewal ® Amendment ❑ Effective Date 11/03/14 Approved by Board Yes❑ No❑ <br />Agenda Date: <br />This agreement is approved as to technical form and content: <br />DocuSigned by: <br />Department Director's Signature A�t.tU_ �d V Date: 11/20/2014 <br />B7E962D1BF454FA... <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />DocuSigned ""by: <br />''� <br />Office of the Risk Management Officer Qus . r,6vvt,e 6 Date: 11/24/2014 <br />7FDCF9176800498... <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 />DocuSigned by: <br />Office of the Chief Financial Officer F •Qu�e�n� _)_ V�Rti Date: 11/24/2014 <br />2F982EC44C2C444... <br />Legal Services <br />This agreement is approved as to Ie �I foym ggd sufficiency: <br />ocu Igoe y: <br />Office of the County Attorney 1 4�� Date: 11/25/2014 <br />4035CB8304CA4A9... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountynL.,gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br />Office of the Clerk to the Board Date: <br />