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DocuSign Envelope ID: 1BBE76BE-0509-4636-BABD-F2B681BA1D3B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Velaquez Media Party/Vendor Contact Person: Monique Vleasquez Contact Phone: 919 682 <br /> 9874 Party/Vendor Address: PO Box 62441 City Durham State: NC Zip: 27715 Department: BOCC Amount: <br /> $28,600 Purpose: Cablecasting Services Budget Code(s): 10200020 - 720041 Vendor # 57754 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes El No Contract Type: (Check one) New El Renewal El <br /> Amendment ❑ Effective Date July 1,2016 Approved by Board Yes No❑ Agenda Date: June 21,2016 <br /> DocuSigned by: <br /> This agreement is approved as to tec in.1 form a,�d content: <br /> �t/o f/ V 6/26/2017 <br /> Department Director's Signature 7E6163FCO8764DE... 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 /i siaystandards, specifications,and requirements: <br /> ((USA. Cone.*& 6/26/2017 <br /> Office of the Risk Management Officer Date: <br /> 7F-Be€91taaoea98... <br /> Financial Services <br /> This instrument has been pre-audited in the mann erd uquired by the Local Government Budget and Fiscal Control <br /> Act: <br /> CI"/ 0,041./..6,0- 6/26/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: <br /> Legal Services <br /> cuSigned b <br /> This agreement is approved as to eg bj oAnatst}fficiency: <br /> U t& I�OI�t V� 6/27/2017 <br /> Office of the County Attorney EAA3D33ED8A8465... Date: <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 <br /> 8 <br />