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DocuSign Envelope ID:27C3F1A4-B27C-4BA8-99ED-AA998848F024 <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Parry/Vendor Name: tilde Language Justice Cooperative Party/Vendor Contact Person: Ron Garcia-Fogarty <br /> Contact Phone: 919-951-5961 Party/Vendor Address: 732 9th St., Box 681 City Durham State:NC Zip: 27705 <br /> Department: HR&R Amount: 10.000 Purpose: Spanish Intetwretation/Translation- Budget Code(s): There is no <br /> code in this document because each Department pays for expenses out of their budget as services are utilized <br /> Vendor#65568 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 10/7/2019 Approved by Board Yes[:]No❑ Agenda <br /> 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 /> D"uSigned by: <br /> Department Director's Signature Date:10/10/2019 <br /> Agreements for emergency services or repE 4os5cBs3o4CA4A9. above affirmation. If services related to this <br /> J 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 /> DacuSigned by: <br /> Office of the Risk Management Officer �f ASO, �V1n.t�'1+"6 Date: 10/10/2019 <br /> 7FDCF9176800498 <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 .aar� 06t,�Ahou Date: 10/11/2019 <br /> EM4E5181AGC1409 <br /> Legal Services <br /> This agreement is approved as to legal form-"-IDacuSigned by: -Na <br /> lnku, �-i7n,(, I 10/11/2019 <br /> Office of the County AttorneyDate: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne,gov <br /> The following signature black is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 06119 <br /> 13 <br />