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DocuSign Envelope ID:8332B88E-6069-4FC9-98F9-6D884A2A8399 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Chapel Hill Carrboro County Schools Party/Vendor Contact Person: Dr. Rydelll Harrison <br /> Contact Phone: 919-967-8211 Party/Vendor Address: 750 S. Merritt Mill Road City Chapel Hill State: NC Zip: <br /> 27516 Department: Health Amount: $2,500 Purpose: After school literacy tutoring program. Budget Code(s): <br /> 10412020-630000-71453 Vendor#22226 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 11-1-17 Approved by Board <br /> Yes❑No[] Agenda Date: <br /> This agreement is approved as to tei DOCUSigned by: nt: <br /> pbrb&� �,lwC,l 1 11/14/2017 <br /> Department Director's Signature Date: <br /> 5145A2C6945C4flF... <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 sufficienc, -QocuSigned by: ds, specifications,and requirements: <br /> QUsa. LA�b 11/15/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by; <br /> 41.&1. 11/20/2017 <br /> Office of the Chief Financial Officer 7DaE51a1ACC140s... Date: <br /> Legal Services <br /> This agreement is approved as t OacuSigned by: <br /> 1WAZ ftaYit, 11/20/2017 <br /> Office of the County Attorney 079MD525COF4FB... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&oran eg countync. og_v <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 Date: <br /> Revised 10/17 <br /> 8 <br />