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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Town of Carrboro Party/Vendor Contact Person: Holly Holland Contact Phone: 919-918- <br /> 7318 Party/Vendor Address: 301 W. Main Street City Carrboro State: NC Zip: 27510 Department: Aging <br /> Amount: $1,450 Purpose: Volunteer Connect 55+ Budget Code(s): 10434005448910 Vendor#595 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date 07/01/2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature e,,l. 9& Date: <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 /> Office of the Risk Management Officer_a,6,-,, ( \ Date: /7 c� <br /> Financial Services <br /> This instrument has been pre-audited in th anner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: 17 z <br /> Legal Services <br /> This agreement is approved as to leg and sufficiency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d a�oran eg countmc.gov <br /> The following signature block is for har i onl d quired for Docusign contracts: <br /> Office of the Clerk to the Board Date: �� <br />