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ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: University of North Carolina at Chapel Hill Party/Vendor Contact Person: Kevin Castle <br /> Contact Phone: 919-966-2344 Party/Vendor Address: Bondurant Hall, CB7120 City Chapel Hill State: NC Zip: <br /> 27599 Department: Aging Amon n 90 000 Purpose: OC CARES grant Budget Code(s): 30432005-444140- <br /> 71092 Vendor# 10419 (N/A if n endor) Vendor is a BOCC consultant? Yes El No[] Contract Type: <br /> (Check one)New ❑ Renewal ® ' endment ❑ Effective Date 09/01/2016 Approved by Board Yes❑No <br /> �`1� ❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: /-AK-17 <br /> 61 V <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 Risk Management AO L'77 Date: <br /> Financial Services <br /> This instrument has been pre-audited in the in r r ed by e Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal and i • ncy: <br /> Office of the County Attorney Date: 7 <br /> to the Board <br /> Received for record retention: / <br /> Office of the Clerk to the Board Date: !7 <br /> Revised 6/16 <br />