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DocuSign Envelope ID:852269FE-BFOA-471 D-130FA-313D916719D2A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: David Hesselmeyer dba On Target Preparedness Party/Vendor Contact Person: David <br /> Hesselmeye Contact Phone: 910-214-4086 Party/Vendor Address: 266 Braddock Drive City Lillington State: NC <br /> Zip: 27546 Department: Health Amount: $6,000 Purpose: Develop Multi-Year Training and Exercise Plan(MYTEP) <br /> Budget Code(s): 10414020-630000-71413/30750020-629000-71049 Vendor 4 63291 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 8/21/15 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to to mefflu� ftd ontent: <br /> ,, t v,, 9/14/2015 <br /> Department Director's Signature ff-:M o '' ned Date: <br /> , ,!�"Vtz- 9/25/2015 <br /> Department Director's Signature RRlBAF75FFFC4AR 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 sufficiencda% ,:standards,specifications,and requirements: <br /> I Q�SA r,6vvte tt0 9/25/2015 <br /> Office of the Risk Management Office Date: <br /> �6EF�695fi49... <br /> Financial Services <br /> This instrument has been pre-audited i ° rft �squired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer F �az®� Date: <br /> 9/25/2015 <br /> Legal Services <br /> This agreement is approved as to RK&wAh i sufficiency: <br /> Office of the County Attorneys Date: 9/25/2015 <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 />