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DocuSign Envelope ID:9F6CD7A3-C98B-47EB-9872-901B2E31ABE1 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: University of North Carolina Party/Vendor Contact Person: Carol Gunther-Mohr Contact <br /> Phone: 919-843-2518 Party/Vendor Address: Campus Box 8165 City Chapel Hill State: NC Zip: 27599-8165 <br /> Department: Aging Amount: $9,954 Purpose: MAP-Project EngAGE Budget Code(s): 10430020-630120 Vendor 4 <br /> 52553 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New <br /> Renewal❑ Amendment ® Effective Date 07/28/15 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tec gL�g R. dWO content: <br /> � Gt 'r�t <br /> Department Director's Signature Aj.&t � Date: 8/14/2015 <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: <br /> ''111L <br /> Office of the Risk Management Officer a�lSa (,bVtU& Date: 8/17/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by:: <br /> Office of the Chief Financial Officer <br /> P&IAL tMobVu Date: 8/17/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to C.��} g�r�me sufficiency: <br /> Office of the County Attorney Date: 8/18/2015 <br /> 035CB830 4CA4A9... <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 />