Orange County NC Website
DocuSign Envelope ID: EEOD7A24-3C3D-485C-AE8B-53FC4F6128E1 <br /> k <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> G <br /> Department <br /> Party/Vendor Name: Communication Services for Deaf and Hard of Hearing (CSDHH) Party/Vendor Contact <br /> Person: Kelle Owens Contact Phone: 336-2758878 Ext 7 Party/Vendor Address: 1175 Revolution Dr. Studio 15 <br /> City Greensboro State:NC Zip: 27405 Department: HHR&CD Amount: $5,000 Purpose: ASL&Transliteration <br /> Services Budget Code(s): There is no code in this document because each Department pays for expenses out of their <br /> budget as services are utilized. Vendor#52302 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7/1/2016 Approved by <br /> Board Yes❑No❑ Agenda Date: <br /> form �g nt t: <br /> This agreement is approved as to technical ����,,�� <br /> g 1�1� VocSi5lgne�: <br /> Department Director's Signature a "° d d Date: 11/1/2016 <br /> A13FC071FOB64E0... <br /> Information Technologies <br /> i° <br /> (Applicable only to hai dtivare/softtvare purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> ( <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> I <br /> Docu5ignedby: ���. <br /> Office of the Risk Management Officer <br /> Q�Sa. ChnttN Date: 11/2/2016 <br /> 7FDCF9176800498... <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 /> Office of the Chief Financial Officer <br /> pd Date: 11/2/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney Date: 11/2/2016 <br /> 4035CE8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Dolma Lloyd upon completion @ Dolioy_d(rvorangecount t�i4ov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> Revised 10/16 <br /> 9 <br />