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DocuSign Envelope ID: D3E4F616-EA53-4F3E-B1D6-3B4158AD40E6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Julia Hill Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> 122 Friar Lane City Carrboro State: NC Zip: 27510 Department: Aging Amount: $3,000 Purpose: MAP Summer <br /> Intern Budget Code(s): 10430020-630120 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑No❑ Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date May 15,2015 Approved <br /> by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to tec ^ g ,&4content: <br /> Department Director's Signature �a�n,tGt fiy Date: 5/13/2015 <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"" 6 by: <br /> ''1L <br /> Q�As& 66vvt,e <br /> Office of the Risk Management Officer Date: 5/14/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the qp,n erdtyquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer � b�' Date: <br /> 5/14/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to 0QgWW4.sufficiency: <br /> Office of the County Attorney 440 1�, Date: 8/11/2015 <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 />