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JJ <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Triangle J Council of Governments Party/Vendor Contact Person: Mary K Warren Contact <br /> Phone: Party/Vendor Address: 4307 Emperor Blvd., Ste 110 ' City Durham State: NC Zip: 27703 <br /> Department: Aging Amount: $661,125 Purpose: Community Based Services Budget Code(s): 10430105-444000, <br /> 10430105-448916-71086, 10432005-444103 Vendor # 5855 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date <br /> 7/01/18 Approved by Board Yes®No❑ Agenda Date: 9/20/18 <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: A0- <br /> Lo <br /> Information Technologies <br /> (Applicable only to hardware/sofhvare 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 sufficiency of insurance standards,specifications,and requirements: <br /> Office of Risk Management - __� Date: T <br /> Financial Services <br /> This instrument has been pre-audited in the arm req ' ed by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: ` My / <br /> Legal Services <br /> This agreement is approved as to legal for d sufficiency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board - <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 10/17 <br />