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DocuSign Envelope ID:B95B2B37-A96F-476E-BOA3-471 C41F51313771D <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Departmen <br /> Party/Vendor Name: Workforce DeveloppLizin Board Party/Vendor Contact Person: James Bain Contact Phone: <br /> 336-629-5141 Party/Vendor Address: P.O. Box 1883 City Asheboro State: NC Zip: 27204 Department: DSS <br /> Amount: Purpose: Extension of WIOA Youth Program Budget Code(s): 10403020 Vendor (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes r-I No❑ Contract Type: (Check one)New 0 Renewal ❑ <br /> Amendment 0 Effective Date 07/01/16 Approved by Board Yes❑No❑ Agenda Date: <br /> m�by: <br /> This agreement is approved.as to technical form an eolybgg 11/2/2016 <br /> Department Director's Signature A83B455 Date: <br /> Information Technologies <br /> (Applicable only to harcAvarelsoftware 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 /> This agreement is approved for sufficiency of in wwso4uw:14rds, specifications, and requirements: <br /> Office of Risk Management_­­­ Mso, (hnuN Date: 11/2/2016 <br /> FBeF9+768004-9&.---------- <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 E <br /> L Date: <br /> 11/8/2016 <br /> - .4E&1-84AGGI-409�............ <br /> Legal Services <br /> This agreement is approved as to legal form ands " &ri 6§ned by: <br /> Office of the County Attorney Date: 11/10/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board <br /> Revised 6/16 <br />