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DocuSign Envelope ID:29F69F49-AF01-438A-86A0-C2EF1EC6D661 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Melissa Childers Party/Vendor Contact Person: Same Contact Phone: (919) 475-9358 <br /> Party/Vendor Address: 112 West Hill Ave. N City Hillsborough, State: NC Zip: 27278 Department: HR&R <br /> Amount: $4,999.99 Purpose: Spanish Interpretation Budget Cade(s): There is no code in this document because each <br /> Department pays for expenses out of their budget as services are utilized Vendor # 65701 [NIA if new vendor] <br /> Vendor is a BDCC 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 affirrnatively 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: 7/9/2019 <br /> Agreements for emergency services or repair at_ _ ----- -- -- - 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 sufficiency of insurance standards_specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer Vkx (,bir'Ut' 6 Date: 7/10/2019 <br /> 7FDCF9176900498 <br /> Financial Services <br /> This instrument has been pre-audited in the manner rPn„irefl hv the I.nnAl [:nvemment Budget and Fiscal Control Act: <br /> Docu Sig nedfby: <br /> Office of the Chief Financial Officer � � 'J mAk6v' Date: 7/10/2019 <br /> -E�704E51S1ACC1409 <br /> Legal Services <br /> This agreement is approved as to legal form and— <br /> DocusignW by: <br /> Office of the County Attorney At&& J)so Date: 7/10/2019 <br /> _1]079A4D525WF4F6 <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 />