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DocuSign Envelope ID:64B57AAO-E577-48A7-A2AD-05217CDOF7DB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Benjamin Beaton PartylVendor Contact Person: Same Contact Phone: 517-740-6785 <br /> Party/Vendor Address: 107 James Helen Ct. City Willow Springy State: NC Zip: 27592 Department: HR&R <br /> Amount: $6,000 Purpose: Spanish Interpretation Budget Code(s): There is no code in this document because each <br /> Department pgys for ex enses out of their bud et as services are utilized. Vendor # 59063 (N/A if new vendor) <br /> Vendor is a BOCC 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 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 .4Jd Inv--- Date:7/9/2019 <br /> 4035 C68304CA4A9 <br /> Agreements for emergency services or rep,.- 4t',..�..,u.,,.... —µ.'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 Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> WcuSigned by: <br /> [7FDCF0176800408 <br /> Office of the Risk Management Officer usa. (,DV1A. 6 Date: 7/15/2019 <br /> . <br /> Financial Services <br /> This instrument has been pre-audited in the mann--_-ooC_:sig�d_by`'_- f ' Government Budget andFiscal Control Act: <br /> 7/15/2019 <br /> Office of the Chief Financial Officer i� Date; <br /> 7NE5181ACC1409. <br /> Le al Services <br /> This agreement is approved as to legal form and s,.' DacuS'. by: <br /> Office of the County Attorney 9KAZ kakit, Twb Date: 7/15/2019 <br /> 079A4D525COF4FB- <br /> Clerk 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 /> Revised 06119 <br />