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DocuSign Envelope ID: F4A90588-A899-4CC5-B2A2-5E81A5E87038 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Joel W. Leonard Party/Vendor Contact Person: Joel W. Leonard Contact Phone: 919.383.7589 <br /> Party/Vendor Address: 2501 Pleasant Green Road City Durham State: NC Zip: 27705 Department: DEAPR- <br /> Recreation Amount: $3,000.00 Purpose: Theater Jr. and Theater Sr. Summer Camp Instruction Budget Code(s): <br /> 10511020 630000 Vendor# 56876 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date June 24,2019 Approved by Board Yes❑ <br /> 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 /> awl goLa 6/24/2019 <br /> Department Director's Signature s11CFA1D507A4s5.. Date: <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< bo'cusigned 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 /> `� " 7/12/2019 <br /> Office of the Chief Financial Officercr 7NE5181ACC1400. Date: <br /> Legal Services <br /> This agreement is approved as to DocuSigned by, ciency: <br /> 66A, PkkW s 7/12/2019 <br /> Office of the County Attorney Date: <br /> EAA3033E08AE4S5.. <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 />