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DocuSign Envelope ID:3CFBBB39-06B3-4306-ADD8-CBC8E2B91 CA9 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> DeRartment <br /> Marty/'vendor-Dame: Lesly Penick Party/Vendor Contact Per son: Same Contact Phone: 919-274-4530 Marty/Vendor <br /> Addr-ess:221 Adams St. City State:NC Zip: 27513 Departrnent: HHR CD Amount: $5,000 Purpose: anish <br /> Interpretation budget ode(s): Vendor # (N/A if new vendor-) Vendor-is a BOCC consultant? Yes <br /> NoZ Contract Type: (Check one) New 0 Renewal Z Amendment 0 Effective Date '7/l/2015 Approved by <br /> boar-d Yes oE] Agenda Date: <br /> This agreement is approved as to content: <br /> Department Dir-ector's ignatu r-e F�.�,:.� 4F� Date: 8/28/2015 <br /> Yn f'orrnatio n Technologies <br /> (Applicable only to har dwa�e/s of t-vuf e pug chas es or elate d set vices) T hi s agree ment has been r-evi e wed and is <br /> appz-oved as to information technology content and specifications: <br /> Office of the hlef'fnt6t,mation Officer, Date: <br /> Risk Management <br /> This agr-Bement is approved far suff'lcienc�_Wjjzwkowey5tandaids,specifications, and mquir'ements: <br /> Office oft he Risk Management Officer Date:8/31/ 015 <br /> Financial Services <br /> T his instt urnent has been pr-c-audited in 4 �i ft u ired by the Local Government Budget and Fiscal Control Act: <br /> P Au aV, <br /> Office of'the Chief Financial Officer' Date: 8/31/2015 <br /> -2-32 DFFc�FA-WB... <br /> Lees <br /> This agreement is approved as to I&WeAM sufficiency- <br /> 9/2/2015 <br /> ,� <br /> Office of the County A�ttor'ney_ _ Date: <br /> Cler-k to the Board <br /> Received for record rttention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(t�.oran count:viic <br /> The f6Ilowing signature block is fbr-hard copies only and is not required for Docusign contracts: <br /> Office of the C leak to the Boa r-d Date: <br /> Revised 06/15 <br />