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DocuSign Envelope ID: CB1367D0- F10D- 45A3- AB05- 2D2E5D054FD0 <br />ORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY <br />Department <br />Party/Vendor Name: CASA Party/Vendor Contact Person: Mary Jean Seyda Contact Phone: 919 -754 -9960 Party/Vendor <br />Address: 624 W. Jones Street City Raleigh State: NC Zip: 27603 Department: Housing and C/D Amount: $46,529.40 <br />Purpose: Rental Rehabilitation Budget Code(s): 32473020 789020 47316 Vendor # N/A (N /A if new vendor) Vendor is a <br />BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date August <br />29, 2018 Approved by Board Yes❑ No® Agenda Date: <br />This agreement is approved as to to DocuSigned by: <br />Department Director's Signature <br />09438.45D47C5406... <br />Information Technologies <br />Date: 8/29/2018 <br />(Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is approved as to <br />information technology content and specifications: <br />Office of the Chief Information Officer Date: <br />Risk Management <br />This agreement is approved f --- -� us9riea by: r'.___ -rance standards, specifications, and requirements: <br />aUS& �,bVln.t,{�6 <br />Office of Risk Managemen <br />7FDCF917E800498... <br />Financial Services <br />This instrument has been pre- audited if DocuSigned ay: <br />Office of the Chief Financial Officer <br />704E5181ACC1409... <br />Date: 8/30/2018 <br />the Local Government Budget and Fiscal Control Act: <br />Legal Services <br />This agreement is approved as t DocuSigned by: <br />1 <br />WAZ k0it, 1_�S(h <br />Office of the County Attorney <br />079A4D525COF4F6... <br />Clerk to the Board <br />Received for record retention: <br />Office of the Clerk to the Board <br />Revised December 2016 <br />Date: 8/30/2018 <br />Date: 8/30/2018 <br />