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DocuSign Envelope ID:482E99B7-9A3A-4E92-AA6E-2549FE065DDE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: GoTriangle Party/Vendor Contact Person: Suzanne Clyburn Contact Phone: 919-314-8747 <br /> Party/Vendor Address:4600 Emperor Blvd, Suite 100 City Durham State: NC Zip: 27703 Department: OCPT <br /> Amount: $500.00 Purpose: Transit Passes Budget Code(s): 63000;10435020 Vendor # 54931 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective <br /> Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and DocuSigned by: <br /> ��, — �--- 8/6/2019 <br /> Department Director's Signature 722E5DDOAB25490 . Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurai DocuSigned by: .ations,and requirements: <br /> I <br /> USa �,4Wt.th 8/8/2019 <br /> Office of the Risk Management Officer Date: <br /> 7F6CF917E800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner r oocusigned by: ernment Budget and Fiscal Control Act: <br /> !=81Office of the Chief Financial Officer �acc,zw' �. Date: 8/8/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and suffiE4035CB8304C,A4M <br /> ' oocusigned by: <br /> Office of the County Attorney o 4,0k_`- Date: 8/15/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion sin erg sollgoran eg count.rmc._og_v <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 /> 7 <br />