Orange County NC Website
DocuSign Envelope ID:9147F44B-6958-4793-8E4D-C3119F67BDD1 <br /> Y <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> r <br /> Department <br /> Party/Vendor Name: Benjamin Beaton Party/Vendor Contact Person: Same Contact Phone: 517-740-6785 <br /> Party/Vendor Address: 107 James Helen Ct. City Willow Spring State: NC Zip: 27592 Department: HHR&CD <br /> Amount: $10,000 Purpose: Spanish Interpretation Budget Code(s): There is no code in this document because each <br /> Department pays for expenses out of their budget as services are utilized. Vendor # 59063 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment El <br /> Effective Date 7/1/2017 Approved by Board Yes❑No❑ Agenda Date: is <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature _44,4J4 k Date:?/10/2017 <br /> 4035CB8304CA4A9... <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 /> DocuSigned by: <br /> Aisx /�,�__ .�llll <br /> Office of the Risk Management Officer - VIALltb Date: 7/12/2017 <br /> 7FDCF9176800498... <br /> is <br /> i3 <br /> Financial Services <br /> This instrument has been pre-audited in the mannzg eauyred by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 4' 112°'L Date: 7/13/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney <br /> [1—a_lOut, harit, 1" SCb Date: 7/13/2017 <br /> 079A4D525C0F4FB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydiorangecountync.goy <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 /> 8 <br /> Revised 06/16 <br />