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DocuSign Envelope ID:874D086C-148C-418A-B140-732EE045A830 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Communication Services for Deaf and Hard of Hearing (CSDHH) Party/Vendor Contact <br /> Person: Kelle Owens Contact Phone: 336-2758878 Ext. 7 Party/Vendor Address: 1175 Revolution Dr. Studio 15 <br /> City Greensboro State:NC Zip: 27405 Department: HHR&CD Amount: $5,000 Purpose: ASL&Transliteration <br /> Services Budget Code(s): There is no code in this document because each Department pays for expenses out of their <br /> budget as services are utilized. Vendor#52302 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7/1/2017 Approved by <br /> Board Yes❑Non Agenda Date: <br /> This agreement is approved as to technical,upo ,catn,ent: <br /> Department Director's Signature 4434 - Date: 7/17/2017 <br /> ` 4035CB8304CA4A9... <br /> Information Technologies <br /> (Applicable only to hardware/sofhvare 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 /> • <br /> This agreement is approved for sufficiency of' � � <br /> a�� dards,specifications,and requirements: <br /> QUSA. Conuth& 7/17/2017 <br /> Office of the Risk Management Officer Date: <br /> 7FBEF947.::: a... <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 �' `�°n�la°'L Date: 7/17/2017 <br /> v7D4E5181ACC1409... <br /> Legal Services <br /> 1 <br /> This agreement is approved as to legal form andisu£ „yd by: <br /> Office of the County Attorney alti�� � SCd Date: 7/17/2017 <br /> -079A4D525C0F4FB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(korangecountync.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 10/16 <br /> 9 <br />