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DocuSign Envelope ID:A3147042-06BA-4E16-BE25-5CBFAC5BA2DD <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Luna Lee Ray Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: P O Box 1372 City Carrboro State: NC Zip: 27510 Department: Aging Amount: $2,000 Purpose: <br /> classes Budget Code(s): 10430120-629000 Vendor#48614 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date March 1, 2019 <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature � �t�t,_r Date: 2/20/2019 <br /> 67Eg62D1BF454FA.. <br /> Agreements for emergency services—.IF— u...,—,�4�ject 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 <br /> was 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 /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer �U56 (,DV1n 6 Date:2/20/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer A Iw Date:2/22/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney ��,�� f� Date: <br /> 2/22/2019 <br /> 4035CB8304CA4Ae <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 /> Office of the Clerk to the Board Date: <br /> Revised 12/18 <br /> 8 <br />