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DocuSign Envelope ID: 79C656D4-C9CC-4E83-86DC-2586ACE20052 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> De artment <br /> Party/Vendor Name: The Dispute Settlement Center Inc. Party/Vendor Contact Person: Frances Henderson <br /> Contact Phone: (919) 929-8800 PartyNendor Address: 302 West Weaver St City Carrboro State: NC Zip: 27510 <br /> Department: DSS Amount: $10,000 Purpose: Assist the '_ Unty in meeting oafs of fihjMfly safety and self- <br /> sufficiency to Orange County DSS clients Budget Codc(s): 10403020-630000 Vendor 46127 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date 07/01/15 Approved by Board Yes®NOD Agenda Date: <br /> This agreement is approved as to technical form and LoWigned by: <br /> Department Director's Signature NAAn.Ct� �,OSf01� Date: 7/2/2015 <br /> DAE11J6A8�B45� <br /> Information Teehnolo 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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insuranc Mi n.,d cifications,and requirements: <br /> Q�iSa V17t,t�0 <br /> Office of the Risk Management Officer 7FDCF9176800498 Date: 7/3/2015 <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 /> � <br /> , <br /> �X[AL A+bvu 7/6/2015 <br /> Office of the Chief Financial Officer 2aEEC2e AF 847B... Date: <br /> Legal Services <br /> This agreement is approved as to legal form and suffic' pocuSigned by: <br /> Office of the County AttorneyJ1 Date: 7/6/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dol to d&ran ecount nc. ov <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 />