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DocuSign Envelope ID:E02AB74C-3353-4F8E-BEA4-03779D1 B41 E8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Dispute Settlement Center Party/Vendor Contact Person: Will Dudenhausen Contact Phone: <br /> 919-929-8800 Party/Vendor Address: 301 West Weaver St City Carrboro State: NC Zip: 27510 Department: <br /> Manager's Office/Homeless Programs Amount: $1350.00 Purpose: Training Budget Code(s): 32470620 630000 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 11/7/17 Approved by Board Yes' No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature tiravCS kruA, Date: 11/28/2017 <br /> 0A3E81B12B364B4... <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 /> r----DocuSigned by: <br /> Office of the Risk Management Officer <br /> oust, CCV'ttvt Date: 11/28/2017 <br /> `'*• 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ,---DocuSigned by: <br /> Office of the Chief Financial Officer �� Date: 11/28/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> r---DocuSigned by:' <br /> Office of the County Attorney jb(u&.. tbtt- s Date: 11/28/2017 <br /> �—EAA3D33ED8A8465... <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 2/17 5 <br />