Orange County NC Website
DocuSign Envelope ID: 3A41C8C3- 4643- 4E42- 9E22- 7ED4F266BDF8 <br />ORANGE COUNTY— DEPARTMENT USE ONLY <br />Department <br />Party /Vendor Name: Communication Services for Deaf and Hard of Hearing (CSDHH) Party/Vendor Contact <br />Person: Kelle Owens Contact Phone: 336- 2758878 Ext. 7 Party/Vendor Address: 1175 Revolution Dr. Studio 15 <br />City Greensboro State: NC Zip: 27405 Department: Human bights and relations Amount: $5.00 0 Purpose: ASL <br />& Transliteration Services Budget Codes): There is no code in this document because each Department pays far <br />expenses out of their budget as services are utilized. 'Vendor # 52302 (N /A if new vendor) Vendor is a BOCC <br />consultant? Yes ❑ NoO Contract Type: (Check one) New ❑ Renewal M Amendment [] Effective Date <br />7/1/2018 Approved by Board Yes[] No❑ Agenda Tate: <br />This agreement is approved as to technical form and content: <br />DacuSigned by: <br />Department Director's Signature � Date:7 /16/2018 <br />4035CB8304CMA9... <br />Information Technologies <br />(Applicable only to hardwarelsoftware 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 />DacuSigned by: <br />Office of the Risk Management Officer gJGSa. C"t Date: 7/16/2018 <br />7FDCF9176900498... <br />Financial Services <br />This instrument has been pre - audited in the manner required by the Local Government Budget and fiscal Control <br />Act: <br />DacuSigned by:' ! <br />Office of the Chief Financial Officer <br />Szarr V6VLA.Lk6V, Date: 7/16/2018 <br />7D4E5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />DacuSigned by: .{-, <br />Office of the County Attorney <br />d.AVJAG �i-ant, I (h .Date: 7/16/2018 <br />D79A4D525COF4FB... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion @ Sinersoll car orantrecountync.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 <br />Revised 06118 <br />10 <br />Date: <br />