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000wSWn Envelope ID: Cur0r88re158-4o58-853C;E45uE58C8r0o <br /> ORANGE C USE ONLY <br /> Department <br /> PoU}vYendorNnmc Partv/VondnrCoo(uot Pc/son: Jack Moore Cnntuo( Phooe: (9l9) <br /> 797-92�09 Pnrty/Vuudor Address:J.O._Box 3804 City Durham State:NC Zip:27702 Department: DNGAPR Amount: <br /> Vendor # 63546 /A if new vend <br /> Vendor i* u'B0CC musohunrY Yes El NnN Contract Type: (Cbeok one) New 0 Renewal [] /\muoJ/nont LI <br /> Effective Date 1/20/2)16 Approved byBoard Yea[]NuN Agenda Date: <br /> ____ <br /> This agreement in approved mmto technical form and content: <br /> o"""»m""^^': <br /> lDepnrtomntX}|ocotoo''mSignature [`n$::_______R I I <br /> Informatiou Technologies <br /> (Applicable md),m6at,(Iirmnlsofhi,at�eym-clmumm'relatedxmvices)This agreement has been reviewed and is <br /> approved ouio information technology content and specifications: <br /> Office oX the Chief Information Officer Da\e:______ <br /> Risk Mariagemerit <br /> This agreement is approved for sufficiency of insurance statidards,specifications,and requiremetits: <br /> o"""mo""u»,: <br /> Office of the Risk K0annAeweot OOOoo Dx$o:_______ <br /> Financial Set-vices <br /> This instrument has beeii pre-audited in the manner required by the Local Governmerit Budget and Fiscal Control Act: <br /> u"""mn""o»': <br /> Office oy the Chief FhnuncinlOfficer K}n0c:_______ <br /> Legal Services <br /> This agreement ioapproved as to legal form and sufficiency: <br /> DocuSigned by, <br /> Office of the County 6`ttonnmy Date: <br /> ______ <br /> _4�_ <br /> Clerk to tile Board <br /> Received for record retention: <br /> Docusign contracts must be copied hoDomm Lloyd upon completion @ Doi loyd@orangecountyne.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office nf the Clerk to the Board DateL______ <br /> Revised 1/16 4 <br />