R 2017-552-E Co. Mgr. - Center for Child & Family Health - OCPEH training

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DocuSign Envelope ID:99C7D900-FF76-4FBB-8F90-EAED1 EC38CDO ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Center for Child & Family Health Party/Vendor Contact Person: Constance Slade Contact Phone: 919-385-0761 Party/Vendor Address: 1121 W Chapel Hill St., Suite 100 City Durham State:NC Zip: 27701 Department: County Manager Amount: $9650.00 Purpose: OCPEH Training Budget Code(s): 32470620 630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date 9/1/17 Approved by Board Yes' No Agenda Date: This agreement is approved as to technical form and conteocu int, Dgned by: Department Director's Signature fibs ki Date: 0A3E81B12B364B4... 9/20/2017 Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: DocuSigned by: Q 10/9/2017 Office of the Risk Management Officers Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer (9q Date: 10/9/2017 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney 6/0s Date: EAA3D33E08A8465... 10/9/2017 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 2/17 5