Orange County NC Website
DocuSign Envelope ID:6B33048D-5D35-447C-A3B9-54E3CB134930 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Fun2Ref,LLC Party/Vendor Contact Person: Arlene Lynn Dunbar Contact Phone: 919-477- <br /> 3533 Party/Vendor Address: 1105 Infinity Road City Durham State: NC Zip: 27712 Department: DEAPR- <br /> Recreation Amount: $38,040 Purpose: Referee Services Budget Code(s): 10511020 630000 Vendor# 59066 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br /> Renewal ® Amendment ❑ Effective Date 07/19/2019 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> 11).11 <br /> DocuSigned by: <br /> a�J Sf�G 7/22/2019 <br /> Department Director's SignatureCFA1D5o7A495.. 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 <br /> was 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 sufficient oocuSigned by: rds,specifications,and requirements: <br /> SUS& "R A6 7/24/2019 <br /> Office of the Risk Management Office 7FDCF917680049s. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> A 7/25/2019 <br /> Office of the Chief Financial Officer 70aEs4a1ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: iciency: <br /> �6� Pk� 7/25/2019 <br /> Office of the County Attorney EAAM3sEDSAW5.. 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 r DS <br /> 9 GS <br />