Orange County NC Website
DocuSign Envelope ID:52889BC3-723F-437A-AEB3-C767EOC6192E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Namc: Batch Poore and Williams Party/Vendor Contact Person: Edney Batch Contact Phone: L9-19) <br /> x'70-0466 Party/Vendor Address: 120-PeTimatc-Cl. Suite to 1 City Raleigh State: NC Zip: 27-603 Department: DSS <br /> Amount: S1.5 0_00 Purpose: legal services for conflict cases in child welfare Budget Code(s): 10400220-634000 <br /> Vendor#-— (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract 'Type: (Check one) <br /> New ❑ Renewal E Amendment ❑ Effective Date _ Approved by Board Yes❑ NoE Agenda Date: <br /> This agreement is approved as to technical form ajjCKCMRtqWgn.d by: <br /> Date: 11/18/2016 <br /> Department Director's Signature <br /> Information Technoloaies <br /> (Applicable only to hardwarelsqftware purchases or related set-vices)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer <br /> Risk Management <br /> This agreement is approved for sufficiency of insuranc ad wg6v specifications, and requirements: <br /> 11/16/2016 <br /> Office of the Risk Management Officer..­—,--------!t­7,FDCF9-L7680Q4@9—... --- Date: <br /> Financial Service <br /> 'This instrument has been pre-audited in the manner equTF89'87W�Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 11/30/2016 <br /> ZQ­4E-�ZIACCI,�­ ------ <br /> Legal Services <br /> ye-ajfj?� <br /> This agreement is approved as to legal form and su ff i � gne y: <br /> Office of the County Attorney 44J4 Date:11/30/2016 <br /> a04CA449­ ­ <br /> -- <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @i, <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 5 <br />