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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : C3 Hillsborough Party/Vendor Contact Person : Gregg Pacchiana Contact Phone : 919 - <br /> 697 - 5177 Party/Vendor Address : 128 North Churton Street City Hillsborough State : NC Zip : 27278 Department : <br /> AMS/Manager Amount : $47 , 400 Purpose % Temporary placement of Public Defender ' s offices , 18 months lease of <br /> 115 E King Street Budget Code (s) : 61370035480000 �69 ,Vendor # new (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No ❑ Contract Type : ( Check one)�1ew ® Renewal ❑ Amendment ❑ Effective <br /> Date October 23 , 2019 Approved by Board Yes ❑ No ❑ Ag pda Date : <br /> o. p� 6 <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 /> Department Director ' s Signatur Eac, 1 Dateft 073 <br /> Agreements for emergency services or repair are not subject to thl 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 of ' ufance stand cis , specifications , and requirements : <br /> / J I <br /> I <br /> Office of the Risk Management Office l Gate .. 16 /Co? <br /> CU f <br /> Financial Services <br /> r <br /> This instrument has been pre - audited in the , ner quired by the Local Government Budget and Fiscal Control <br /> Act : <br /> r <br /> Office of the Chief Financial Officer ` ` Date : Z <br /> Legal Services <br /> This agreement is approved as to legal form and s cie cy : <br /> Office of the County Attorney Date : <br /> Clerk to the Board <br /> Received for record retention : <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion : smgersoll@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 />