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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County School System Party/Vendor Contact Person: Kqy Maness Contact Phone: <br /> 919-732-8126 Party/Vendor Address: 200 East King Street City Hillsborough State:NC Zip: 27278 Department: <br /> Health Amount: $236,696.00 Purpose: School nursing services Budget Code(s): 10495020-631100 Vendor# 178 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ <br /> Renewal® Amendment ❑ Effective Date 7/1/2014 Approved by Board YesK No❑ Agenda Date �17,M4 <br /> This agreement is approved as to technics orm and content: <br /> Department Director's Signature t__ c Date: <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 d specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management (�'� <br /> This agreement is approved for sufficienc777 standards,specifications,and requiremen <br /> Office of the Risk Management Officer Date: APR 16 2015 <br /> By <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: za <br /> Office of the Chief Financial Officer �,Jl�QJfn Date: q" <br /> Legal Services <br /> This agreement is approved as to legal fo an uffici cy: <br /> Office of the County Attorney <br /> Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydAoran eg coon c.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 />