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DocuSign Envelope ID: C70443F1-0404-42A7-B35A-E9BAA3DBCB71 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> City State: Zip: Department: Amount: Purpose: Budget <br /> Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑ No <br /> ❑ Agenda Date: <br /> This agreement is approved as to techniWh ggrntnfpd,,Kid content: <br /> Department Director's Signature Natnz� 6661A' Date: 7/26/2017 <br /> `----DAE 1 E 196A83B455... <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 /> p DocuSigne�d/by: <br /> Office of the Chief Information Officer s) Ndr 1''`''``'(' Date: 7/26/2017 <br /> \ C11 BA91E73A64DF... <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> ocuSigne''""by: 1111 <br /> Office of Risk Management ((USX �,Orvu X16 Date: 7/27/2017 <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 Office <br /> rl.1 ` ---- la°'L Date: 7/27/2017 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form dand sufficiency: <br /> r <br /> Office of the County Attorney <br /> ia.ulAt,S fxbiou Date: 7/27/2017 <br /> ',---328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> 4I1? ga <br />