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ntq_Ag3 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Town of Carrboro Party/Vendor Contact Person: Holly Holland Contact Phone: <br /> Party/Vendor Address: 301 W Main St City Carrboro State:NC Zip:27510 Department: Aging Amount: $1,450 <br /> Purpose:Volunteer Connect 55+ Budget Code(s): 10434005-448910 Vendor#595 (N/A if new vendor) Vendor + j1 <br /> is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ ���'� ` <br /> Effective Date 7/01/17 Approved by Board Yes[]No❑ Agenda Date: 1 <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature `. Date: 4�-,-!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:'el Office of Risk Management Date: 1 l <br /> Financial Services <br /> This instrument has been pre-audited in the mu4ner e ired by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer A,4 Date: (D <br /> r/ <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney r 11 G&�� � l� f' Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: L((\( <br /> Revised 2/17 <br />