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DocuSign Envelope ID:C8A96163-9727-4D52-BE22-A8D964F05312 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Michigan Coalition Against Homelessness Party/Vendor Contact Person: Eric Hufnagel <br /> Contact Phone: (517) 485-6536 Party/Vendor Address: 15851 Old U.S. 27 #315 City Lansing State: MI <br /> Zip: 48906 Department: County Manager/Homelessness Partnership Amount: $0 Purpose: HMIS Lead Budget <br /> Code(s): Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract <br /> Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 07/01/17 Approved by Board Yes <br /> No Agenda Date: <br /> This agreement is approved as to technical form and content: . <br /> ocuSigned by: <br /> Department Director's Signature trav,is kruA, Date: 6/26/2017 <br /> 0A3E81B12B364B4... <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 Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> r---DocuSigned by: <br /> aUS& Cbl b 6/26/2017 <br /> Office of Risk Management Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> , ---DocuSigned by: <br /> Office of the Chief Financial Officer Date: 6/27/2017-7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> r Docu igned by: <br /> Office of the County Attorney joLvi, rott5 Date: 6/28/2017 <br /> �—EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br />