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� <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: NC State Library Party/Vendor Contact Person: Raye Oldham Contact Phone: 919-807-7423 <br /> Party/Vendor Address: 109 East Jones Street City Raleigh State: NC Zip: 27601 Department: Library Amount: <br /> $17,882 Grant with $4,471 local match Purpose: Grant for public technology Budget Code(s): Vendor # <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as form and co <br /> Department Direct s Sign r Date < � <br /> Informs on c olo ies <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 k 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: _ 0 �.�^ <br /> Office of the Chief Financial Officer y"' 6'&/�Date: b GPI V <br /> Legal Services <br /> This agreement is approved as to legal and fic' ncy, <br /> v <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 @ Dollo�Dorangecountync•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 />