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DocuSign Envelope ID:815F210A-8B41-4FA5-9E00-6E68ADE7BD3A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Community Empowerment Fund Party/Vendor Contact Person: Jonathan Young <br /> <Tony(&communityempowermentfund.ora> Contact Phone: 919-200-0233 Party/Vendor Address: 208 N. <br /> Columbia St, Suite 100 City Chapel Hill State: NC Zip: 27514 Department: County Manager Amount: $11,700 <br /> Purpose: Database maintenance and upgrades Budget Code(s): 32470620 630000 Vendor # (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 4/1/2019 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 /> �U^ocuSigned by: <br /> Department Director's Signature I <br /> S A& � 1A, Date: 3/22/2019 <br /> Agreements for emergency services or repair aran3Ea1812B364B4 . )ve 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 <br /> aUsa ('6�6 Date:3/22/2019 <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 <br /> s�gx.wra Date: 3/25/2019 <br /> 7NE5�181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney , 66A. K6k� Date:3/25/2019 <br /> EAAM33ED8AE4& <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 /> 9 <br />