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DocuSign Envelope ID: 154F4DA8-1233-493D-A1AF-5FE62E1EFEF3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: City Sliders Party/Vendor Contact Person: Teresa Parker Contact Phone: 919-949-7656 <br /> Party/Vendor Address: 5705 Windlestraw Dr.Apt.12 City Durham State:NC Zip:27713 Department:Human Rights <br /> &Relations Amount: $483.75 Purpose: Provider will cater lunch for Human Rights and Relation's Women's History <br /> Month event Budget Code(s): 10460020-630000 10460020-790005 Vendor#65589 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective <br /> Date Approved by Board Yes❑Non Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> Docusigned dy: <br /> 3/26/2019 <br /> Department Director's Signature 4035C68304CA4A9 Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insur-----Docusigned by; - -'rications,and requirements: <br /> �$�, �,bVln.t,{�6 <br /> Office of Ithe Risk Management Officer Date: 3/26/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the In, Docusigned 6y: - ;al Government Budget and Fiscal Control Act: <br /> 3/27/2019 <br /> Office of the Chief Financial Officer Date: <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and suffic' D"usigned by: <br /> §irt Ak f-A.Ytt, J SW 3/2 7/2 019 <br /> Office of the County Attorney 079A4D525C0F4Fa. _Date: <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 />