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a � 7� 00 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Triangle J Council of Governments Party/Vendor Contact Person: Mary Warren Contact <br /> Phone: 919-588-2707 Party/Vendor Address: 4307 Emperor Blvd., Ste 110 City Durham State: NC Zip: 27703 <br /> pepartment: A in Amount: $41,945 Purpose: NC Family giver Support Program Budget Code(s): <br /> 10432005-444106 Vendor#5855 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No[] Contract <br /> Q Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/2016 Approved by Board Yes❑ <br /> Nor-1 Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: a/-,J0-/7 <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 sufficiency of insurance standards,specifications,and requirements: <br /> Office of Risk Management j 3--:, Date: <br /> 7 <br /> Financial Services <br /> This instrument has been pre-audited in the requir by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: ZZ �7 <br /> Legal Services <br /> This agreement is approved as to legal rm and su ici cy: <br /> Office of the County Attorney Date: <br /> Clerk to he Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: 3 (o <br /> NOTE: TJCOG RETURNED ONL SIGNED CONTRACT—REQUESTED A SCANNED COPY <br /> SENT TO THEM WHEN FULLY-SIGNED <br /> Revised 2/17 <br />