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DocuSign Envelope ID: D8F707E1-7CF1-49C1-987C-5822B80F6851 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Captiol Broadcasting Company Inc Party/Vendor Contact Person: James Amato Contact Phone: <br /> 919-595-5165 Party/Vendor Address: 2619 Western BLVD City Raleigh State:NC Zip: 27606 Department: Human <br /> Rights & Relations Amount: $3,000.00 Purpose: To geotarg_et digitized outreach each month in Orang eCountYand <br /> other desired locations on the county lines. Budget Code(s): 30460020-790009-71300 & 10460020-600000 Vendor# <br /> 61750 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New <br /> Renewal ❑ Amendment ❑ Effective Date February 1,2019 Approved by Board Yes❑ No❑ Agenda Date: <br /> February 2019-May <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated DocuSigned by: ;agreement: <br /> 4035CB8304CA4A9 1/29/2019 <br /> Department Director's Signature Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <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 /> DocuSigned by: <br /> This agreement is approved for sufficiency o a US& CbKVL&6 specifications,and requirements: <br /> 7FDC F91768004H. 1/2 9/2 019 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> DocuSigned by: <br /> This instrument has been pre-audited 0 y the Local Government Budget and Fiscal Control Act: <br /> 704E5981 ACC 1409. 1/30/2019 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> DocuSigned by: <br /> This agreement is approved as to legal form and sufficiency: 11079A4D525C0F4FB_ <br /> WAk t, �S(h1/30/2019 <br /> Office of the County Attorney Lace: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> DocuSigned by: 1/30/2019 <br /> Office of the Clerk to the Board She r'"a Date: <br /> D6C2PECC91M46C <br /> Revised 12/18 4 <br />