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DocuSign Envelope ID:7D61 F2DA-061 F-433A-ACF9-9DC2EB4F7996 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: JW Athletics Foundation Party/Vendor Contact Person: Jacob Wood Contact Phone: 919-563- <br /> 3531 Party/Vendor Address: 900 NC HWY 86 North City Hillsborough State:NC Zip: 27278 Department: DEAPR- <br /> Recreation Amount: $2,835.00 Purpose: Basketball Clinics Budget Code(s): 10511020 630000 Vendor # <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date September 9,2019 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 /> Ep <br /> �� �f��L DocuSigned by: r <br /> Department Director's Signature Date:8/28/2019 <br /> 611CFA1D507A495.. <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 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 sufficient Wocusigned by: rds, specifications,and requirements: <br /> aUsa �,DVIn.�,{�6 8/28/2019 <br /> Office of the Risk Management Office 7FDCF9176800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited i DocuSigned by: the Local Government Budget and Fiscal Control Act: <br /> I � � 8/30/2019 <br /> Office of the Chief Financial OfficerEroaslacc,4os. Date: <br /> Legal Services <br /> This agreement is approved as tcDEAA,D,,ED.A.,_ <br /> DlocuSigned by: iclency: <br /> 61LVI P Y s 9/3/2019 <br /> Office of the County Attorney Date: <br /> . <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 4 <br /> P Ds <br /> CS <br />