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DocuSign Envelope ID:OD814977-936A-4AO5-8664-932BBC81A6B1 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Wade Heverly Party/Vendor Contact Person: Wade Heverly Contact Phone: 919.451.9499 <br /> Party/Vendor Address: 104 Linnet Drive City Hillsborough State: NC Zip: 27278 Department: DEAPR-Recreation <br /> Amount: $1,500.00 Purpose: Volleyball Sr. Summer Camp Instruction Budget Code(s): 10511020 630000 Vendor# <br /> 62401 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date June 24, 2019 Approved by Board Yes❑ No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's SignaturLo AWJ NVA Date:5/22/2019 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienc dawargWusystandards,specifications,and requirements: <br /> r17FRPF91716e6498 <br /> Office of the Risk Management Officer �6 Date:5/22/2019 <br /> Financial Services <br /> This instrument has been pre-audited i 4r> fflqWftquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 5/22/2019 <br /> Legal Services <br /> This agreement is approved as t e^^ `�1W$Yid sufficiency: <br /> Jb �r6� 5/23/2019 <br /> Office of the County Attorney 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 /> Ds <br /> D <br />