Orange County NC Website
DocuSign Envelope ID:6E10342F-8FOA-4F9F-B833-C406FB85A52B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Valerie Love-Koh ama Party/Vendor Contact Person: Valerie Love-Koyama Contact Phone: <br /> 336-684-7458 Party/Vendor Address: 7403 A. S.NC-87 City Graham State: NC Zip: 27253 Department: Planning <br /> &Inspections Amount: $90.00 per recorded hour Purpose: Transcription of Board Meeting Mintues Budget Code(s): <br /> 10620020-630000 Vendor# 63499 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 5, 2016 Approved by Board Yes❑ <br /> No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> UocuSigned by: <br /> Department Director's Signatur C6846D10DA3CFD4r_2...�o buu Date: 7/7/2016 <br /> Information Technolosies <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 sufficiency of insurance standards,specifications,and requirements: <br /> UocuSigned by: �t <br /> Office of the Risk Management Office C17FDCF9176900498 USX �,DVlrt.t,{�6 Date: 7/7/2016 <br /> ... <br /> Financial Services <br /> This instrument has been pre-audited in the manner rennired by the Local Government Budget and Fiscal Control Act: <br /> UocuSigned by: <br /> Office of the Chief Financial Office Cr7NE5181ACCW9 <br /> '��'� Date: 7/8/2016 <br /> . <br /> Legal Services <br /> This agreement is approved as tn leon] perm and R„fficiency: <br /> UocuSigned by.: <br /> Office of the County Attorne C�b&)' Pkk�S Date: 7/11/2016 <br /> EAAM33ED8AW5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydko rangecountync.-oovv <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 6/16 5 <br />