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DocuSign Envelope ID:90C19616-EF64-43BA-87A3-7B963CC866FB <br /> DS <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Design Element of Durham Party/Vendor Contact Person: Stan Mallard Contact Phone: 919- <br /> 383-5561 x 205 Party/Vendor Address: 3702 Hillsborough Road, Suite 1 City Durham State: NC Zip: 27705 <br /> Department: AMS Amount: $2265.42 Purpose: Link Remediation Signag_e Budget Code(s): 10240320-580000 <br /> Vendor# 65142 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 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 /> q� <br /> Department Director's Signature ate. 'I6V*� Date:5/13/2019 <br /> Agreements for emergency services or rep 21EFMACD454EF.. he 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 <br /> __by: <br /> .'��tt <br /> Office of the Risk Management Officer aUS66 ('6 6 Date: 5/13/2019 <br /> 7FDCF9176900498. <br /> Financial Services E <br /> This instrument has been pre-audited in the manner ran„irarl by the r Kcal Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> .a�cAye,. <br /> Office of the Chief Financial Officer ��- v Date: 6/27/2019 <br /> 7NE5181ACC1409 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiencv: <br /> DocuSigned by: <br /> Office of the County Attorney �6LW Pkk l 5 Date: 6/28/2019 <br /> EAA3MaEMAM65.. <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 />