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DocuSign Envelope ID:8F6AD7AB-CE9D-4OC4-B5FA-6FCBA99F62F3 <br /> ORANGE COLJNTY-DEPARTMENT USE ONLY <br /> Department <br /> Name: Holcomb and Cabe Party/Vendor Contact Person: Contact Phone: <br /> Pu�>/YeoducAddress: Chy(]l�2�JH08 State: 1�C Zip: 2Z5l4 Depurtmeot: DSS <br /> Amount: $165,000 Purpose: Provide legal consultation to agency staff regaLding ch�L Welfare issues and adult <br /> protective cases Budget Code(s): 10400220-634000 Vendor (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes F-1 NoR Contract Type: (Check. one) New E] Renewal [Z Amendment E] Effective Date <br /> Q7�0 1,116 Approved by Board YesE NoR Agenda Date: <br /> This agreement ia approved uom technical 'orm d <br /> Department Director's Signature Date: 7/I9/2016 <br /> Information Technologies <br /> (Applieable only to hardwarelsofiware purchasev or related services) This agreement has been reviewed and is <br /> approved unzo information technology content and specifications: <br /> Office uf the Director uf Information Tee bn Date:______ <br /> Risk Mana2ement <br /> This agreement ie approved 6z fOi of requirements: <br /> Office of Risk Management [}ate: 7/I4/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: ' m="a/o"°o^v. <br /> Office o[the Chief Financial Officer Date: 7/28/2016 <br /> _____E - -­­­--- ___ ....... _ <br /> Le2al Services <br /> This agreement isappnoveduu to legal form and <br /> Office of the County Attorney Date: 7/29/20I6 <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk tuthe Board <br /> �� � <br />