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<br />DocuSign Envelope ID: 29DF65E5-A393-4ED3-BDDA-DF9EC49973C4 <br />ORANGE COUNTYDEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: Lauren Shiplett Party/Vendor Contact Person: Lauren Shiplett Contact Phone: 919 525 5628 <br />Party/Vendor Address: 5819 Acorn Knoll Place City Mebane State: NC Zip: 27302 Department: IT Amount: 1800 <br />Purpose: Paid Internship Budget Code(s): Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? <br />Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 12/22/14 Approved <br />by Board Yes No Agenda Date: NA <br />This agreement is approved as to technical form and content: <br /> <br /> ________________________________________ Date: ________ <br /> <br /> <br />Information Technologies <br />Applicable only to hardware/software purchases or related services <br />() This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br />Office of the Chief Information Officer________ <br />___________________________ Date: ________ <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer <br />___________________________________ Date: _________ <br /> <br /> <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 <br /> ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney <br />__________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br /> <br />Office of the Clerk to the Board <br /> __________________________________________Date:_________ <br /> <br />Revised 10/14 5 <br />