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DocuSign Envelope ID:68F4D2C0-E330-423E-BCO2-F830CC1A8435 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Law Enforcement Services,Inc. (LESI), Party/Vendor Contact Person: Ellen Cutler Contact <br /> Phone: 336-852-6902 Party/Vendor Address: 3409-A West Wendover Ave. City Greensboro State: NC Zip: <br /> 27407 Department: OCES/Communications Amount: 4,500 Purpose: Online Personal History Questionaire and <br /> Post Offer Psychological Evaluations Budget Code(s): 10755020-630000 Vendor #N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ <br /> Effective Date March 1,2015 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to tec faatweaagl content: <br /> 3� .�� 2/5/2015 <br /> Department Director's Signature Date: <br /> Information Technolo0es <br /> (Applicable only to harcAvar•e/softinare 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 grgjNq b,4andards,specifications,and requirements: <br /> &A, <br /> Y <br /> Office of the Risk Management Officer lb Date. /5/2015 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> At �""4""'bin. 2/5/2015 <br /> Office of the Chief Financial Officer C Date: <br /> Legal Services <br /> This agreement is approved as to 1 D&PmuAdysufficiency: <br /> Office of the County Attorney 44A4"\°�U` Date: 2/5/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,orangecoumtync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br />