R 2015-327-E DEAPR - U.S. Tae Kwon Do Center, Inc. for tae kwon do instruction

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DocuSign Envelope ID: EEDCD3FB-CO27-4E00-8COB-02929E8F4COB ORANGE COUNTY--DEPARTMENT USE ONLY Department Party/Vendor Name: U.S. Tae Kwon Do Centel-, Inc. Party/Vendor Contact Person: Steve Kim Contact Phone: (919)730-3697 Party/Vendor Address: 15201 Rose Garden Lane City Durham State: NC Zip: 27707 Department: DEAPR Amount: $15690.00 Purpose: Tae Kwon Do Instruction Budget Code(s): 1051 1020 630000 Vendor# 61681 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New Renewal ❑ Amendment ❑ Effective Date July 7, 2015 Approved by Board Yes❑ No[] Agenda Date: This agreement is approved as to technical form °D Gl�l �fGt,I�t.U� 7/8/2015 Department Director's Signature F,_,rF°1D5 A4 Date: Information Technologies (Applicable only to lr(rr'{Ir4'ar•e/sojht,ar•e prrr•chases or•r•elaled ser3�ices)This agreement has been reviewed and is approvcd as to information tcclmnology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of i Rmu& TWimV ds,speciticatiorms,and requirements: QUs& �bvvt,e,ttb 7/9/2015 Office of the Risk Management Officer 7FDCF917680049& Date: Financial Services This instrument has been pre-audited in the iIp-gnge�rn iAquired by the Local Government Budget and Fiscal Control Act: M At to D".�bVu 7/9/2015 Office of time Chief Financial Officer 232DFFC2CFA847B... Date: Legal Services This agreement is approved as to lega o D}o�aiiansi4�`ic)•ermcy: �bIA,� 1°e�PS 7/9/2015 Office of the County Attorney EAA3D33ED8A8465... Date: Cleric to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion rr Dolloyd a,orangecotllrtync.yov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: DS Revised 10114 8 ��