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<br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: North Carolina Emergency Management Party/Vendor Contact Person: Ricky Tuttle Contact <br /> Phone: 919-575-4122 Party/Vendor Address: 401 Central Ave City Butner State: NC Zip: 27509 Department: <br /> Emergency Services Amount: $35,000 Purpose: GRANT Budget Code(s): Vendor# (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date Approved by Board No❑ Agenda Date: <br /> This agreement is approved as to technic o co nt: <br /> Department Director's Signature Date: <br /> Information T o ies <br /> (Applicable only to hardware/software pu ases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> k0frice of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer Date: <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 /> eot�a�'y <br /> Office of the Chief Financial Officer i y � Date: r 30 (f <br /> Legal Services <br /> This agreement is approved as to katnstic le enc y: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&oranizecouMnc.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 />