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a �5 -O'n <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Elizabeth Y. Edwards-Portnov Party/Vendor Contact Person: same Contact Phone: <br /> Party/Vendor Address: 2453 Sedgefield Dr. City Chapel Hill State:NC Zip:27514 Department:BOCC Amount: <br /> not to exceed$13,000 Purpose:transcription services Budget Code(s): 10200020-630000 Vendor#63031 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one)New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes[]No❑ Agenda Date: <br /> This agreement is approved as to technical orm and co tent: <br /> X Department Director's Signature Date: /$ <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 and specifications: <br /> Office 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 /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <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(-a,orangecountync.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 />