Orange County NC Website
DocuSign Envelope ID: 5ED94CEC-6251-43C9-A798-E1F25EDF371D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Dispute Settlement Center PartyNendor Contact Person: Will Dudenhausen Contact Phone: <br /> 919-929-8800;will @disputesettlement.org Party/Vendor Address: 302 West Weaver Street City Carrboro State: NC <br /> Zip: 27510 Department: AMS Amount: $960.00 Purpose: AMS Leadership Team Training Budget Code(s): <br /> 10240320-530100 Vendor # 6127 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 3/16/2017 Approved by Board Yes❑No <br /> ® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature 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 insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office Q(asa C611"6 Date: 3/16/2017 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> i—UOCU5i9ned by: <br /> Office of the Chief Financial Officer, :,± Date: 6/15/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> i—UOCU5i9ned by: <br /> Office of the County Attorney, �0hwts Date: 6/20/2017 <br /> Clerk to the Board i <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(aiorangecoff tync.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 />