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DocuSign Envelope ID:9A043OD9-7ACC-4C25-8C5E-7A2CO072060E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> — — -- ---- Department <br /> Party/Vendor Name: Caterina Phillips Party/Vendor Contact Person: Same Contact Phone: 919-451-3499 <br /> Party/Vendor Address: 1403 Woodburn Rd. City Durham State: NC Zip: 27705 Department: HHR&CD Amount: <br /> $1,000 Purpose: ASL Interpretation Budget Code(s): Various Departments Vendor # 60322 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br /> Effective Date July 1 2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to to e °fl ' hd content: <br /> Department Director's Signature D ad Date:9/11/2015 <br /> Information Iechnolorsies <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 /> Ihis agreement is approved for sufficient ttwrxeistandards, specifications,and requirements: <br /> Quso, 66�6 9/15/2015 <br /> Office of the Risk Management Officer FCQF9_14Ze_ Date: <br /> financial Services <br /> This instrument has been pre-audited i egMhUOP�' uired by the Local Government Budget and Fiscal Control Act: <br /> IAU �,A &A, 9/16/2015 <br /> Office of the Chief'Financial Officer 939nFFC9CFAA47R Date: <br /> L <br /> Le.al Services <br /> This agreement is approved as t 4lgr"d;A�atci sufficiency: <br /> Office of the County Attorney -� "1 4""'_ Date: 9/17/2015 <br /> 5eB83648AAAA.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Doi lovd(cr)oran_o untvne gov <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 /> Rev ised 06/15 8 <br />