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DocuSign Envelope ID:BCE64A7F-AC28-4B03-BFA7-B9965384DA09 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Patricia L. Tolbert .Party/Vendor Contact Person: Trish Tolbert Contact Phone: 336-524-4505 <br /> Party/Vendor Address: 2900 Shagbark Lane City Graham State: NC Zip: 27253 Department: HEALTH Amount: <br /> Purpose: Development coaching—Amendment to contract#2017-197-E Budget Code(s): 10412020-630000-71453 Vendor# <br /> 64504 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract Type: (Check one)New ❑ Renewal <br /> ❑ Amendment ® Effective Date 5/22/17 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to tec . Eltl / d content: <br /> a,„-- <br /> 7/20/2017 <br /> Department Director's Signature <br /> 5145n2GD945C40F Date: <br /> ... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienc ma" _b''standards,specifications, and requirements: <br /> ausi 7/24/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited i ��1 itquired by the Local Government Budget and Fiscal Control Act: <br /> elotri s�o .� 7/24/2017 <br /> Office of the Chief Financial Officer4E5181ACC140g... Date: <br /> Legal Services <br /> This agreement is approved as to eg iN1fda�1d Buff ciency: <br /> µ L -Sca 7/25/2017 <br /> Office of the County Attorney fl7QA D525C E4FB 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 July 2015 <br />