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DocuSign Envelope ID:OD4B9FE2-2EA6-4699-8D9B-C1900C3136CC <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Joan Cecil Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> 4211 Slim Elmore Ln City Efland State: NC Zip: 27243 Department: Aging Amount: $2,000 Purpose: <br /> Budget Code(s): class instructor Vendor# 63317 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> ❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 3/01/19 Approved by Board <br /> 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 Signature ,�GU tu, �t�t,[.+'' Date: 5/31/2019 <br /> Agreements for emergency services UE962D1BF454FA.. Ct 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 Officer Musa ( Q�6 Date:6/1/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 4 Date: 6/2/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to leeal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney �,, f Date:6/3/2019 <br /> 4035CB8304CA4Ae <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 />