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DocuSign Envelope ID: FB572490-ADC8-45OC-9Al2-EOD0049BB4FC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Jinxiu Zhao Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> 807 Fenwick Parkway City Durham State: NC Zip: 27713 Department: Aging Amount: $4,000.00 Purpose: senior <br /> centers instructor Budget Code(s): 10430120-629000 Vendor 4 58269 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1, <br /> 2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature A.bLtGt. <br /> Date: 7/1/2015 <br /> B7E962D1BF454FA... <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 /> ---DocuSigned""by: 11LL <br /> Office of the Risk Management Officer <br /> �,Sa (,6vvU& Date: 7/2/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the m qfgg�AWred by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer �AU� , Date: 7/2/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney Date: 7/2/2015 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v <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 /> Revised 10/14 4 <br />