Orange County NC Website
DocuSign Envelope ID: 2DE05616- 854F- 452D- B3E4- 46548CF7A662 <br />ORANGE COUNTY DEPARTMENT USE ONLY <br />Department <br />Party /Vendor Name: Elijah Pruitt Party/Vendor Contact Person: Elitah_Pruitt Contact Phone: 919- 622 -4424 <br />Party /Vendor Address: 3703 Borland Road City Ef7and State: NC Zip: 27248 Department: Library Amount: <br />Purpose: Program Budget Code(s): 630000 Vendor tl (N /A if new vendor) Vendor is a BOCC consultant? <br />Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by <br />Board Yes❑ No❑ Agenda Date; <br />This agreement is approved as to technical form anr' <br />g plr DocuSigned by: <br />LL�EK4FO15FA55FUD <br />i,f,i' 7/17/2018 <br />Department Director's Signature gi & �-f�t'/�']r Date; <br />... <br />I nformation Technologies <br />(lipplicable only to hardwarelsaftware 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 />This agreement is approved for sufficiency of insuranc DocuSlgned by: <br />Office of the Risk Management Officer 7F6CF917E800498... <br />Financial Services <br />This instrument has been pre - audited in the manner r ©ocu5igned by' <br />Office of the Chief Financial Officer <br />Ir7NE5181ACC1400 <br />Legal Services <br />This agreement is approved as to legal form and suf Docusigned by: <br />Office of the County Attorney�� <br />EAAM33ED8A8485... <br />Cleric to the board <br />Date: <br />tions, and requirements: <br />7/19/2018 <br />Date:. <br />,ernment Budget and Fiscal Control Act:. <br />7/20/2018 <br />Date: <br />Date: <br />8/7/2018 <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@oran ecojL nc.goy <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br />will receive <br />Office of the Cleric to the Board copy Date: <br />Revised 16117 <br />