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DocuSign Envelope ID:ABDF8B22-F2D4-4361-BFAA-FD037C3969B9 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: 919.943.6451 <br /> Party/Vendor Address: 3213 Anandale Rd. City Durham State: NC Zip: 27705 Department: DEAPR-Recreation <br /> Amount: $3,000.00 Purpose: Piano Summer Camps Instruction Budget Code(s): 10511020 630000 Vendor# 61078 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date June 17,2019 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> awlDocuSigned by:Department Director's Signature1P., <br /> gawa Date:5/9/2019 <br /> ICFA1D507A405.. <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- -r oocusigued by:- -ds,specifications,and requirements: <br /> aUS66 �,bV1rt.0 6 5/9/2019 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF9178800498. <br /> Financial Services <br /> This instrument has been pre-audited itIr <br /> DocuSigned by: the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 4 � Date: 5/9/2019 <br /> 7NE5181 AM A0B. <br /> Legal Services <br /> This agreement is approved as tc DocuSigned by: iciency: <br /> �6� K6kG' S 5/10/2019 <br /> Office of the County Attorney Date: <br /> EAA3033E08AE4S5.. <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 /> Ds <br /> GS <br />