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DocuSign Envelope ID: 1 DB E4D7B-FA78-4 1 A8-B49B-51 BID EEC 1 B7B5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Batch, Poore and Williams Party/Vendor Contact Person: Sydney Batch Contact Phone: <br /> (919) 870-0466 Party/Vendor Address: 120 Penmarc Ct Suite 101 City Raleigh State: NC Zip: 27603 <br /> Department: D Amount: $1_0 100 Purpose: Leal services for conflict cases in child welfare Budget Code(s): <br /> 10400220-634000 Vendor#___ (N/A if new vendor) Vendor is a BOCC conSLI]tant'? Yes ❑Non Contract <br /> Type: (Check one) New ❑ Renewal Z Amendment E] Effective Date— Approved by Board YesZ No <br /> n Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: <br /> Information Technologies <br /> (Applicable onli,,io hardwarel'soffivare purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifi P44(bafiiSigned by: <br /> Office of the Director of Information Technology I N" (hsf6vu Date: 7/18/2016 <br /> -------�—B-AE-+E196M3B455------- <br /> Risk Managemen <br /> This agreement is approved for sufficiency of ins w.� Admos,specifications,and requirements: <br /> Office of Risk Management 79usx (h�6 Date: 7/7/2016 <br /> -TF9GF9446W0498... ........ <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 /> 7/28/2016 <br /> Office of the Chief Financial Officer E� 1ACC1409 Date: <br /> Legal Services <br /> form agreement is approved as to legal for and su[ igned b <br /> 1c1 <br /> Office of the County Attorney Date: 7/29/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br />