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DocuSign Envelope ID:044AD186-BAD7-4A1 B-B44F-162B751I D3DF <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Communication Access Partners Inc. CAP Party/Vendor Contact Person: Kevin Hiatt <br /> Contact Phone: 336-993-4200 Party/Vendor Address: 950 Graves Street_,Unit A City Kernersville State:NC Zip: <br /> 27284 Department: Human Rights and_Relations Amount: $5,000 Purpose: ASL & Transliteration Services <br /> Budget Code(s): There is no code in this document because each Department pgys for ex enses out of their budget <br /> as services are utilized. Vendor # 65747 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Bate 8/5/2019 Approved by Board <br /> 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 /> DocuSigned by: <br /> 8/8/2019 <br /> Department Director's Signature Date: <br /> Agreements for emergency services or repo„ uaos5cesso4CA4A9 :o 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 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 /> DocuSigned by: ! <br /> 8/8/2019 <br /> �.Qbso, <br /> Office of the Risk Management Officer 6V1n.t�"b Date: <br /> 7FDCF9176900498 <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 /> Office of the Chief Financial Officer <br /> S.a&r� 06vu.�.�w, Date: 8/8/2019 <br /> 7NE5181A=409 <br /> Legal Services <br /> This agreement is approved as to legal form and c Iffiripnrv• <br /> DocuSigned by: .{-� <br /> 6.9VAIL{, ka.VtG I 66 8/8/2019 <br /> Office of the County Attorney Date: _ <br /> 079A4D525COF4FB. <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 /> 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 06/19 <br /> 10 <br />