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ORANGE COUNTY-DEPARTMENT USE ONLY j - 3cq;, - <br /> o-�,u Department �Q <br /> PartyNendor Name: John Hopkins University Party/Vendor Contact Person: Rebecca Freedman Contact Phone: <br /> P /Vendor Address: 3400 N Charles Ave City Baltimore State: MD Z• : 21218 Department: A"m <br /> Amoun 7 500 Purpose: OC Cares Budget Code(s): 30432020-630000-71092 endor # 53111 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 07/01/16 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Gtxc tc ..Q. 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 Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of Risk Management 1 --- Date: 7�/(, <br /> Financial Services <br /> This instrument has been pre-audited in the m r r • ed the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> I V/ <br /> Legal Services <br /> This agreement is approved as to legal and su is cy: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br />