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J_0(8 -03 <br />ORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY <br />Department <br />Party/Vendor Name: Triangle J Council of Governments Party/Vendor Contact Person: Andrea Eilers Contact <br />Phone: (919) 558 -2705 Party/Vendor Address: 4307 Emperor Blvd Suite #110 City Durham State: NC Zip: <br />27703 Department: Orange County Public Transportation Amount: $31,009 ($30,183 from budget line ending <br />5009, $827 from budget line ending 3300) Purpose: Continued funding for an Orange County TDM Coordinator Qs,�, <br />and support program cost for the Orange County Commuter Options Budget Code(s): 10435005- 445009 / 6633300 1� <br />Vendor # 5855 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br />New ❑ Renewal Z Amendment El Date July 1 2019 Approved by Board Yes NoZ A end f <br />Date: <br />This agreement is approved as to technical form and content: <br />Department Director's Signature //7 17e 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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of Risk Management r C /� ,Z�- -' Date: 6 g' <br />Fi ncial Services <br />This instrument has been pre - audited in the a required by the Local Government Budget and Fiscal Control <br />Act: <br />Office of the Chief Financial Officer <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Date: �3 r <br />Office of the County Attorney, Date: <br />Clerk to the Board <br />Received for record retention: 11 <br />Office of the Clerk to the Board Date: <br />Revised 10/17 <br />