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DocuSign Envelope ID: F55AA6B7-2D6E-47FD-B857-A3239E703DC3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Vicki Robertson Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 222 Bradshear Road City Hillsborough State: NC Zip: 27278 Department: Aging Amount: $300.00 <br /> Purpose: Sign language classes Budget Code(s): 10430120-629000 Vendor#N/A (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date <br /> March 11,2019 Approved by Board Yes❑Nor-1 Agenda Date: <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 prior to execution of the agreement: <br /> DocuSigned by:: <br /> Department Director'sSignatu �aan,ilt, +�tt,Y' Date: 3/11/2019 <br /> Agreements for emergency service B7E9G2❑1BF454FA.. ibject 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 /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Office aUSX Cb�6 Date: 3/12/2019 <br /> 7FDCF917e800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officerlr7NE5181ACC1409 <br /> 3/13/2019 <br /> � � Date: _ <br /> . <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorne EJ,1 f Date: 3/14/2019 <br /> 4035CB8304CA4M <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 4 <br />