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DocuSign Envelope ID:E6F43379-1222-4E8A-B321-4136D55A5120 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Rebecca A. Faris, CPA PLLC Party/Vendor Contact Person: Rebecca A. Faris Contact <br /> Phone: 919-323-6182 Party/Vendor Address: 3007 Moretz Court City Apex State: NC Zip: 27502 Department: <br /> Finance/DSS Amount: $15,000 max Purpose: Provide Professional Non-Auditing Services to Orange County <br /> Social Services (DSS) - Reconciliation and Review of DSS grant grant reporting. Budget Code(s): Finance- <br /> 10230020-630000/DSS-10400120-630000 Vendor#64403 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ NoZ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to technical for anc MRI Vby: <br /> 4/4/2017 <br /> p Signature 7D4E5181ACC1409 <br /> Department Director's Si nature 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 sufficiency of insur @•r,.,,o,nt ,specifications, and requirements: <br /> MSA. 6b11/utl6 4/5/2017 <br /> Office of the Risk Management Officer 7EDCF91768nOd98 Date: <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 /> q,�y�p. 1� 2ovZ <br /> Office of the Chief Financial Officer 7 4E5181ACC1409... Date: 4/4/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and s ned by: <br /> Office of the County Attorney 40n rA Date: 4/5/2017 <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 2/17 <br /> 9 <br />