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DocuSign Envelope ID:A4C13231-8323-4lC4-8841-009EE8DllE71 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Samar A]-Shawa Party/Vendor Contact Person: Same Contact Phone: 919-961-4958 <br /> PartylVendor Address: 2409 Silver Lake Trail City Raleigh, State:NC Zip: 27606 Department: HR&R Amount: <br /> $4,999.99 Purpose: Arabic Interpretation Budget Code(s): There is no code in this document because each Department <br /> pays for expenses out of their budget as services are utilized Vendor# 65705 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 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 /> Department Director's Signature Date: 7/3/2019 <br /> Agreements for emergency services er�, aos5cesso4caaas. ,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 was <br /> addressed: <br /> Information Technologies <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 Manal4ement <br /> This agreement is approved for sufficiency of OacuSigned+_A._A' —jecifications,and requirements: <br /> Office of the Risk Management Officer q.QuSa r` 6 Date:7/3/2019 <br /> 7FDCF9176900498 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSignedby: <br /> Office of the Chief Financial Officer S � VDth.�.�WA, Date: 7/5/2019 <br /> 7NE5181A=409 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiencv: <br /> DocuSigned by: <br /> 6.QVtjAL Ata.Y'1L "I (h 7/8/2019 <br /> Office of the County Attorney Date; <br /> 079MD525COF4FH. <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 />