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DocuSign Envelope ID:D1281FOB-9FD2-40A9-A95B-F16C96A671DA <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Center for Child & Family Health Party/Vendor Contact Person: Constance Slade Contact <br /> Phone: 919-385-0761 Party/Vendor Address: 1121 W Chapel Hill St., Suite 100 City Durham State: NC Zip: 27701 <br /> Department: County Manager Amount: $3050.00 Purpose: OCPEH Training Budget Code(s): 32470620630000_ <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New <br /> ® Renewal ❑ Amendment ❑ Effective Date 11/6/17 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 tP'aW-(S 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 MS& (firtiuth 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: 11/28/2017-704E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency.: <br /> - <br /> - -Docu igned by: <br /> j <br /> Office of the County Attorney o rott5 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 />