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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : Triangle J Council of Governments Party/Vendor Contact Person : Jenny Halsey Contact <br /> Phone : 919 - 558 - 9343 Party/Vendor Address : 4307Emperor Blvd Suite # 110 City Durham State : NC Zip : <br /> 27703 Department : Orange County Public Transportation Amount : $ 32 , 436 Purpose : Continued fundm g for an <br /> Orange County TDM Coordinator and support program cost for the Orange County Commuter Options Budget <br /> Code (s) : 10435005445009 Vendor # 5855 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® <br /> Contract Type : (Check one) New ❑ Renewal ® Amendment ❑ Effective Date Julyl , 2019 Approved by <br /> Board Yes ❑ No ® Agenda Date : <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement : <br /> Department Director ' s Signature Date : "7 <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 rel services) This agreement has been reviewed and is <br /> approved as to information technology content an s fic ions : <br /> Office of the Chief Information Officer Date : <br /> Risk nat4ement <br /> This agreement is approved for sufficiency of insurance standards , specifications , and requirements . <br /> Office of the Risk Management Officer 4 DateAir- <br /> Fi ancial Services <br /> )J// <br /> This instrument has been pre- audited in the ma r r he Local Government Budget and Fiscal Control <br /> Act : <br /> Office of the Chief Financial OfficerDate : <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency : <br /> Office of the County Attorney A40041 00e, 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 1- s not required for Docusign contracts : <br /> Office of the Clerk to the Boar Date . <br /> Revised 12/ 18 <br />