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DocuSign Envelope ID:CD15A705-17DD-4A1F-9E55-7E9608769050 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Laura Casey Party/Vendor Contact Person: Laura Casey Contact Phone: (919)357-0480 <br /> Party/Vendor Address: 2451 Sedgefield Drive City Chapel Hill State: NC Zip: 27514 Department: DEAPR- <br /> Recreation Amount: $1,311.00 Purpose: Creative Arts Instruction Budget Code(s): 10511020 630000 Vendor # <br /> 59863 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date Oct. 3,2019 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 /> DocuSigned by: <br /> awl �faj&u[, 9/24/2019 <br /> Department Director's Signature 611cFA1D507A405.. 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 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 sufficienc-- Wcusi9ned ay:-` --rds, specifications,and requirements: <br /> �U$66 �,DV1n.t 6 9/24/2019 <br /> Office of the Risk Management Office Date: <br /> 7FDCF9178800498. <br /> Financial Services <br /> This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> s� �w 9/24/2019 <br /> Office of the Chief Financial Officer[7D4Esaa1Acc14.. Date: <br /> Legal Services <br /> This agreement is approved as tc Docusigned by: _iciency: <br /> Office of the County AttorneyD6LW Pk� Date:9/24/2019 <br /> EAA3MaEMAW&— <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 />