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65W19 <br /> llllllllbVF3 <br /> ORANGE COUNTY - m - DEPARTMENT USE ONLY - - - HARD COPY ONLY <br /> Department <br /> Party/Vendor Name : i1NC Partnerships in Aging Progam Party/Vendor Contact Person : Warren Ray Contact <br /> Phone : Party/ Vendor Address : 104 Airport Drive City Chapel Hill State : NC Zip : 27599 De ment : <br /> A in Amount : $ 10 , 000 Purpose : MAP Home Repair Coordination Budget Code ( s ) : 10430020 - 630120 'do 4 <br /> 10419 (N/A if new vendor) Vendor is a BOCC consultant ? Yes ❑ No ❑ Contract Type : ( Check one) e <br /> Renewal ❑ Amendment ❑ Effective Date 7/01 / 18 Approved by Board Yes ❑ No ❑ Agenda Date : <br /> This agreement is approved as to technical form and content : <br /> Department Director ' s Signature Date : a - y/ <br /> Information Technologies <br /> (Applicable only to hardware/sof4vare 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 RiskManagement Date : �- rr <br /> Fina 'ci //fl Services <br /> This instrument has been re - audited in the / nne r � y <br /> / ired b the Local Government Budget and Fiscal Control <br /> P <br /> Act : <br /> Office of the Chief Financial Officer Date : <br /> Legal Services <br /> This agreement is approved as to legal fot nd sufficiency : �p <br /> Office of the County Attorney Date : I I 0 <br /> Clerk to the Board <br /> Received for record retention : <br /> Office of the Clerk to the Board Date : <br /> Revised 10/ 17 <br />