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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Elizabeth Y. Edwards Portnoy Party/Vendor Contact Person: Contact Phone: 919-869- <br /> 7579 Party/Vendor Address: 2453 Sedgefield Drive City Chapel Hill State: NC Zip: 27514 Department: BOCC <br /> Amount: $13,000 Purpose: Transcriptionist Budget Code(s): 10200020-630000 Vendor # #63031 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date July 1,2017 Approved by Board Yes®No[] Agenda Date:June 20,2017 <br /> This agreement is approved as to technical fo a d co nt: <br /> Department Director's Signature Date: / <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 /> Office of the Risk Management Officer_ .'= �-� Date: <br /> F' an irSirvices <br /> This instrument has been pre-audited in th nn eq ' eocal Government Budget and F'scal Control Act: <br /> Office of the Chief Financial Officer Date: S 1 <br /> Legal Services <br /> This agreement is approved as to legal fo and suf: ' HE <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydna,oran ecountync.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 2/17 5 <br />