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DocuSign Envelope ID:36D63727-ECEB-44E6-B606-41E97EF5D597 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Board of Education Party/Vendor Contact Person: Michele Woodson Contact <br /> Phone: 919-245-4001 Party/Vendor Address: 1914 New Hope Church Road City Chapel Hill State:NC Zip: 27514 <br /> Department: Health Amount: $68,310 Purpose: Provide summer k-readiness and literacy program Budget Code(s): <br /> 10412020-630000-71453 Vendor # 178 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No X <br /> Contract Type: (Check one) New ❑ Renewal X Amendment ❑ Effective Date 5/20/19 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 /> 6 1iK as �' S�tw� 5/31/2019 <br /> Department Director's Signature Date: <br /> 3C16F2D09E3445F. <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 <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 sufficienc 6ocu5ign�ed_by: <br /> . rds,specifications,and requirements: <br /> / <br /> USX ( r 6 6/1/2019 <br /> Office of the Risk Management Officer[,7FDCF9176900498. Date: <br /> Financial Services <br /> This instrument has been pre-audited:1r7D4E5181A=A00. <br /> Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Office Date: 6/2/2019 <br /> Legal Services <br /> This agreement is approved as tc DacuSigned by: _r <br /> "k kxvit, Twb 6/3/2019 <br /> Office of the County Attorney Date: <br /> 079A4D525C0F4FB. <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 /> Page 7 of 6 <br /> Revised 212019 <br />