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ORANGE COUNTY—DEPARTMENT USE ONLY / fj 5 <br /> Department lQ 4� <br /> Party/Vendor Name: North Carolina Department of Public Safety Party/Vendor Contact Person: George E. <br /> Pettigrew Contact Phone: _704.437.9001_ Party/Vendor Address: 2020 Yonkers Rd, MSC-4250 City Raleigh <br /> State: NC Zip: 27699 Department: Orange County Sheriff's Office Amount: N/A Purpose: Participate in the <br /> Statewide Misdemeanant Confinement Program Budget Code(s): Vendor # (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ <br /> Effective Date May 16,2016 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to techai5 rm and c enL <br /> 0eperinvmt-0ireet&P%s Signature Date: May 25,2016 <br /> of Sheriff <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 N/A Date: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer �t o Date: Z s <br /> Fi uncial Servic s <br /> This instrument has been pre-audited in the er r i ed t Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: J 6 l b <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Legal Advisor <br /> F0ff�ree-oft�heC-ou kty�74ttome Date:May 25,2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a�oran Tecountvnc.�yo_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 />