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DocuSign Envelope ID:OFE288A9-2EE6-4332-87FC-71 13133B62CE2 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Celia Paun2 Party/Vendor Contact Person: Same Contact Phone: (919)259-8095 Party[Vendor <br /> Address: 1309 Silver Drive City Mebane State:NC Zip: 27302 Department: HR&R Amount:$4,999.99 Purpose: <br /> Karen and Burmese Interpretation Budget Codes): There is no code in this document because each De arhnent pays <br /> for Menses out of their budget as services are utilized Vendor#60471 (N/A if new vendor) Vendor is a BOCC <br /> 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 aff matively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature 14035CB8304CAU9 <br /> J-4)A.-'` Date: 7/9/2019 <br /> Agreements for emergency services or repair are 10 i uie auove 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 Management <br /> This agreement is approved for sufficiency of im«iranne standards_ specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management OfficerCq7FDCFD176SO0498-- <br /> . auso. ( �a Date: 7/10/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> ! <br /> Office of the Chief Financial Officer <br /> S.a&rr VmA.�.ko, Date: 7/10/2019 <br /> 7D4E5181A=400 <br /> Legal Services <br /> This agreement is approved as to legal form and qufficiency, <br /> CDocuSigned by: <br /> .6-079A4D525C0F4FB- <br /> ClerkAlA. .I, ha& "I (h 7/10/2019 <br /> Office of the County AttorneyDate:to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@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/I9 <br />