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DocuSign Envelope ID:0483AAC3-255D-4B90-A143-AEED7834513D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Wade Heverly Party/Vendor Contact Person: Wade Heverly Contact Phone: 919.451.9499 <br /> Party/Vendor Address: 104 Linnet Drive City Hillsborough State: NC Zip: 27278 Department: DEAPR-Recreation <br /> Amount: $2,419.20 Purpose:Volleyball Instruction Budget Code(s): 10511020 630000 Vendor#62410 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date February 10,2020 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 /> Sf�� 1/28/2020 <br /> Department Director's Signature Date: <br /> 871CFA1D5,37A495. <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 -oocusigned_by: <br /> . 'ds, specifications,and requirements: <br /> aUsa �,DVln.t,{�6 1/28/2020 <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 /> Office of the Chief Financial Officer I 411-, Date: 1/28/2020 <br /> 7D4E5181ACC1409. <br /> Legal Services <br /> This agreement is approved as tc Docusigned by: _iciency: <br /> Office of the County AttorneyD <br /> 6LW �bk� Date:1/29/2020 <br /> EAA3MaEMAEM& <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 />