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DocuSign Envelope ID:2F28EB01-83FA-4053-9050-C31 E0BA4EBA9 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: David Hesselmeyer dba On Target Preparedness Party/Vendor Contact Person: David <br /> Hesselmeyer Contact Phone: 910-214-4086 Party/Vendor Address: 266 Braddock Drive City Lillington State:NC <br /> Zip: 27546 Department: Health Amount: $20.000 Purpose: Assume duties of Preparedness Coordinator Budget <br /> Code(s): 10414020-630000-71413/71421 Vendor# 63291 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 12/28/15 <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to to vagumnytined content: <br /> Department Director's Signature <br /> CFC66545E Date: 12/18/2015 <br /> ... <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 sufficienc I iiusorangostandards, specifications,and requirements: <br /> ((USA COVI/ut t 12/19/2015 <br /> Office of the Risk Management Officer 7FfCF916R004QR Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> (2141., Arudehort <br /> Office of the Chief Financial Officer Date: 12/20/2015 <br /> 7 n4G5a.84ACC-140.9 . <br /> Legal Services <br /> This agreement is approved as toel-egAlletineaki sufficiency: <br /> y <br /> Office of the County Attorney Date: 12/21/2015 <br /> "� ` 103CCB8301Cn1A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 /> Revised 10/14 <br /> 8 <br />