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97 <br /> 6zotq 761 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : Triangle J Council of Governments Party/Vendor Contact Person . Erika Brown Contact <br /> Phone : Party/Vendor Address : 4307 Emperor Boulevard City Durham State : NC Zip : 27703 Department . <br /> Aging_ Amount : $ 10 , 000 Purpose : Handy Helpers Program Budget Code (s) : New Vendor # 5855 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No ❑ Contract Type . (Check one) New x Renewal ❑ <br /> Amendment ❑ Effective Date 7/ 1 /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 <br /> on this project has not been initiated prior to execution of the agreement . <br /> J0 Sold <br /> Department Director ' s Signature Date : 1 did "/A02' <br /> Agreements for emergency services o ep are not subject to e 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/sofhvare 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 /> Office of the Risk Management Officer Dater <br /> Finan ill Services <br /> This instrument has been pre - audited in 7theuired by the Local Government Budget and Fiscal Control <br /> Act : <br /> Office of the Chief Financial Officer Date : C <br /> Legal Services <br /> This agreement is approved as to legal anc f ciency , <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 : smgersoll@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 <br />