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DocuSign Envelope ID:01C08F99-3E33-4FDC-9EB4-BCE0773169F1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Velaquez Media Party/Vendor Contact Person: Monique Vleasquez Contact Phone: 919 682 <br /> 9874 Party/Vendor Address: PO Box 62441 City Durham State: NC Zip: 27715 Department: BOCC Amount: <br /> $28,600 Purpose: Cablecasting Services Budget Code(s): 10200020 - 720041 Vendor 4 57754 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date July 1,2016 Approved by Board Yes®No❑ Agenda Date: June 21,2016 <br /> S <br /> This agreement is approved as to tech Ivy'TorN'Tiontent: <br /> 6VuVLA. W 7/7/2016 <br /> Department Director's Signature 7E61B3FC087B4DE... Date: <br /> Information Technologies <br /> (Applicable only to hardlvarelsofnvare 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 /> Docu5i ned <br /> This agreement is approved for sufficiency Ia6`an�,e s Wn rds,specifications,and requirements: <br /> �((� (gyp 7/18/2016 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in theDUUMI&a-quired by the Local Government Budget and Fiscal Control <br /> Act: <br /> 7/20/2016 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: <br /> Q, Leal Services <br /> 6 "Ign16 t <br /> This agreement is approved as to eg orm s fficiency: <br /> 6 7/22/2016 <br /> Office of the County Attorney EAA3D33ED8A8465._ Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydd(c orancecountvnc.p-ov <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 6/16 <br /> 8 <br />