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DocuSign Envelope ID:A8E27B9C-323C-46B6-A44C-E58950C1 D4E4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: A Helping Hand Party/Vendor Contact Person: Ashley Contact Phone: Party/Vendor <br /> Address: 1502 W hwy 54, Ste 405 City Durham State: NC Zip: 27707 Department: Aging Amount: 10,000 <br /> Purpose: In home services Budget Code(s): 10432020-630100 and 630105 Vendor# 32018 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ <br /> Effective Date 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 /> Docu5igne�dFb-y:: <br /> �aan.iGt, l b_'_ 6/28/2019 <br /> Department Director's Signature_ Date: <br /> 67E962D16F454FA.. <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 sufficiency DocuSigned by: '.s,specifications,and requirements: <br /> Office of the Risk Management Officer_ QuSa b 9 5 Date: / /2019 <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 /> 4 9/5/2019 <br /> Office of the Chief Financial Officer � � Date: <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as tc DocuSigned by: Icy: <br /> �� 9/13/2019 <br /> Office of the County Attorney Date: <br /> 4035C68304CA4A9 <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 <br /> 8 <br />