Orange County NC Website
DocuSign Envelope ID:87213ABF-3732-4E88-B475-AD615EF503C2 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Naw Paw Paw Hser Party/Vendor Contact Person: Same Contact Phone: 919-904-0735 <br /> Party/Vendor Address: 2088 Softwinds Drive City Graham, State: NC Zip: 27253 Department: HR&R Amount: <br /> 20 000 Purpose: Karen& Burmese Interpretation Budget Codes): There is no code in this document because each <br /> Department pays for expenses out of their budget as services are utilized. Vendor # 57963 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br /> 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> 7/1/2019 <br /> Department Director's Signature . 111k,_ Date: <br /> 4035C68304CA4A9 <br /> Agreements for emergency services or repair a.....�. u_,..,., — ....___ve 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 Technoloizies <br /> (Applicable only to hardwarelsoftware 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 Managemien <br /> This agreement is approved for sufficiency of insurance standards,specifications, and requirements: <br /> DocuSigned by: <br /> ��Sa 7/2/2019 <br /> Office of the Risk Management Officer L.4w 6 Date: <br /> 7FDCF917E800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner n-mrrnrq 1,v flip T.nnnl g <br /> Docusigned by: overnment Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer lq 4 � Date: 7/2/2019 <br /> 7NE5181ACC1409- <br /> Legal Services <br /> This agreement is approved as to legal form and stiffir;Pnc-a- <br /> DocuSigned by: <br /> Office of the County Attorney [079A4D525C0F4FB. <br /> W)AkAkaYYf �S(h Date: 7/2/2019 <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 /> 8 <br /> Revised 06/19 <br />