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DocuSign Envelope ID:76985EO2-DBAO-4630-93BA-A6AD35BC185D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Maire Alexander Party/Vendor Contact Person: Maire Alexander Contact Phone: 919.296-9048 <br /> Party/Vendor Address: 208 Maddington Place City Hillsborough State: NC Zip: 27278 Department: DEAPR- <br /> Recreation Amount: $672.00 Purpose: Yoga and Mindfulness Instruction Budget Code(s): 10511020 630000 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date May 9, 2019 Approved by Board Yes❑ No® Agenda <br /> 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 /> awl gga ,a 6/24/2019 <br /> Department Director's Signature Date: <br /> 1P.,I r-FA1 D507A495.. <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 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 sufficien< Docusigned by: rds,specifications,and requirements: <br /> QuSa (,4W�.t,{�6 7/12/2019 <br /> Office of the Risk Management Office 7FDCF9176900498. Date: <br /> Financial Services <br /> This instrument has been pre-audited i � �Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Office Date:7/12/2019 <br /> 7n4E5181ACC1409. <br /> Legal Services <br /> This agreement is approved as t Docusigned by: iciency: <br /> �66A, K6kW'6 7/12/2019 <br /> Office of the County Attorney EAAM33ED8AM65.. 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 only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 12/18 4 <br /> Ds <br /> GS <br />