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DocuSign Envelope ID:89E47D23-2272-453A-B1C5-9FEEC567C3F3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: David Parker Party/Vendor Contact Person: David Parker Contact Phone: (919) 931-1348 <br /> Party/Vendor Address: 3002 Quantum Lane City Cedar Grove State: NC Zip: 27231 Department: DEAPR- <br /> Recreation Amount: 200.00 Purpose: Halloween Photogranhy Budget Code(s): 10511020 630000 Vendor#61193 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date 10/26/19 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 /> 1P., <br /> DocuSigned by: <br /> awl gawa 10/15/2019 <br /> Department Director's SignatureICFA1D507A495.. 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 -oocusigppned_by: <br /> . 'ds, specifications,and requirements: <br /> aUsa ( Q 6 10/17/2019 <br /> Office of the Risk Management Officer 7FDCF9176800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> �,s� 10/17/2019 <br /> Office of the Chief Financial Officer �aNslacc,4as. Date: <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: iciency: <br /> �6� K6kkY S 10/17/2019 <br /> Office of the County Attorney EAA3D33ED8A905.. Date: <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 />