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I <br /> DocuSign Envelope ID:218BDE7F-0473-4740-91 FB-B8ACB26A75F7 <br /> ORANGE UN T' D EPA T MEI T USE ONLY <br /> Department <br /> Party/Vendor- Mange: Benjamin Beaton Party/Vendof Contact Person: Same Contact Phone: 517-740-6785 <br /> Party/vendor- Address: 107 James Helen Ct. City Willow State: NC Zip: 27592 Department: HHR&CD <br /> Amount: $5,000 Purpose: Spanish tnte-rpretation Budget Code (s): -- Vendor # 5906 /A if new vendor) <br /> Vendor- is a BOCC consultant? Yes L] NoM Conti-act Type: (Check one) env Renewal 0 Amendment E <br /> Effective rate 7/1/2015 Approved by Board YesF <br /> I le Agenda Date: <br /> This agrteme,nt is approved as to to Ism d content: <br /> �. ems,-� <br /> F 9/1/2015 <br /> Department Director's Signature Date: <br /> Information IechnY�gi <br /> (Apph(able only to har dwatelsqftwarepzachases or related services) This agreement has been reviewed and is <br /> approved as to infbr mation technology content and specifications: <br /> Offiee of the Chiet'lia toir'mation Officer' Date: <br /> Risk Mann meat <br /> This agreement is approved fbr cuff i e ien c a�a f b�,:stan dat-ds,specifications,and requirements: <br /> �tSd� (hvvkffb Office of'the Risk Management Officer ADate: 9/1/2015 <br /> Financial Services <br /> This instrument has been pr-e-audited i mmumv wquired by the Local Gover-n rnent Budget and Fiseal C ontrol Act: <br /> OA�/ �4+6 Vt, <br /> Office of the Chieffinancial Officer Date: 9/1/2015 <br /> g.al Services <br /> This agi,eement is approved as t cM ct0yti sufficiency: <br /> �- 9 2015 <br /> �-� I I <br /> Office of the County Attorney Date: <br /> r+oo�nnr+n n nn <br /> CTVO'TDTGTI�TT'�^ <br /> C ler-k to the Board <br /> Received for'r-ecor-d retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollay2or'angecountync.g v <br /> 'The fbl lowing signature block is for'hard copies only and is not required for Docusign contracts: <br /> Office of the Clet-k to the Boar d Date: <br /> Revised 06/15 <br />