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DocuSign Envelope ID:05C7B57D-18B9-406D-8953-484F8634CF37 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Rainbow Management Inc. Party/Vendor Contact Person: Aftab Khan Contact Phone: 919-644- <br /> 7997 Party/Vendor Address: 202 Cardinal Drive City Hillsborough State: NC Zip: 27278 Department: Emergency <br /> Services Amount: 10228.62 Purpose:FEMA Emergency Response Medical Personnel for COVID-19 Pandemic Budget <br /> Code(s): 10750020 630000 95020 Vendor#48525 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 04/6/20 Approved by Board <br /> 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 /> UocuSigned by: <br /> �Department Director's Signature t� y��$ Date: 4/16/2020 <br /> 5655BC89iA64473... <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: Reserved 4 rooms on April 6th due to urgency of anticipated need.Contract was ready,but GM <br /> requested some changes,but we kept the reserved rooms while working on the changes. <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 insuranc- - b�cu-Si9ned by: .r itlons,and requirements: <br /> �$�, �,bV1n.t,{�6 <br /> Office of1 the Risk Management Officer Date:4/16/2020 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner oocusigned by: - government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer I'IN411.4/� Date: 4/20/2020 <br /> 704E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form ands OocuSigned by: <br /> Office of the County Attorney �35CB8 4CA4 Date: 4/20/2020 <br /> 4�35C68304CA4A�... <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 /> 10 <br />