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,p <br /> D 5 ,3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : PNC Bank; Hillsborough NC 1 SGF, LLC Party/Vendor Contact Person : NA Contact <br /> Phone : NA Party/Vendor Address : N/A City N/A State : N/A Zip : N/A Department : AMS Amount : 0 Purpose : <br /> SNDAA document Budget Code(s) : N/A Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No ® Contract Type : (Check one) New ® Renewal ❑ Amendment ❑ Effective Date (the date signed <br /> by both parties) 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 /> Department Director ' s Signature Date :04 2- <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 of insurance standards , specifications , and requirements : <br /> Office of the Risk Management Officer ti Date . <br /> Financial Services <br /> This instrument has been pre- audited in the in er re e by the Local Government Budget and Fiscal Control <br /> Act : <br /> Office of the Chief Financial Officer Date : Z ,�s <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency : <br /> Office of the County Attorney Au ( ou T ' l7� Date : l9 joZl� 1 �1 <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 />