Orange County NC Website
DocuSign Envelope ID:F63B22D5-E938-4B8C-949A-DCD76DAB4F01 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Dispute Settlement Center Party/Vendor Contact Person: Will Dudenhausen Contact Phone: <br /> 919-929-8800 Party/Vendor Address: 302 West Weaver Street City Carrboro State: NC Zip: 27510 Department: <br /> Health Amount: $1,158 Purpose: Anti-Harassment Training Budget Code(s): 10412020-630000-71453 Vendor # <br /> 6127 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 12/5/16 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to tec nic a`? i `�a'�h¢'.d��c ntent: <br /> C I�t 12/28/2016 <br /> Department Director's Signature CAPMF PeARFAFF Date: <br /> Information Technologies <br /> (Applicable only to hardware/software 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 sufficienc RPgt '_1§tandards,specifications,and requirements: <br /> ((USA Mato 1/3/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited irrtneqfftiNfteitquired by the Local Government Budget and Fiscal Control Act: <br /> � <br /> Office of the Chief Financial Officer — �� Date: 1/3/2017 <br /> ZD�E5l81AcC1n�9... <br /> Legal Services <br /> This agreement is approved as t C a4`i `'d'fld sufficiency: <br /> Office of the County Attorne Date: 1/4/2017 <br /> �J y 4f1:1.'iC:RR:104C;A4AQ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov <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 />