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ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Regional Consolidated Services Party/Vendor Contact Person: James W. Bain Contact <br /> Phone: 336-629-5141 Party/Vendor Address: 221 S. Fayetteville Street,PO Box 1883 City Asheboro State: <br /> NC Zip: 27024-1883 Department: Social Services Amount: $276,353.38 Purpose: WIOA Building Futures <br /> Youth Program Budget Code(s): 10403005-442245-71082 Vendor# (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑NoX Contract Type:(Check one)New❑ Renewal X Amendment ❑ Effective Date <br /> July 1,2017 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <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 Risk Management Date:—/JAI <br /> Financial Services <br /> This instrument has been pre-audited in the er r e by a 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 leg 1 f and f ency: <br /> Office of the County Attorney Date: 6 <br /> Clerk to the Board <br /> Received for record retention: / <br /> Office of the Clerk to the Board Date: <br /> Revised 10/17 <br />