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DocuSign Envelope ID:79C692C4-77B7-4B93-84C4-36F00100F78B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: OCHCD Party/Vendor Contact Person: E Sutton Contact Phone: 919-245-2490 Party/Vendor <br /> Address: 300 W Tryon St City Hillsborough State: NC Zip: 27278 Department: 4800 Amount: Purpose: EHA <br /> Reimbursement Budget Code(s): 32471005-449926 Vendor # N/A (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes X No❑ Contract Type:(Check one)New X Renewal❑ Amendment ❑ Effective Date 09/22/20 <br /> Approved by Board Yes X Nor-1 Agenda Date: 09/22/20 <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 /> DocuSignee by: <br /> fAt, <br /> WSVI <br /> Department Director's Signature If Bl c 42 ,p Date: 11/12/2020 <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 sufficiencyrtF <br /> �+��Ca''n��dards,specifications,and requirements: <br /> bvv�.t,TTb 11/12/2020 <br /> Office of the Risk Management Officersnsaooass... Date: <br /> Financial Services <br /> This instrument has been pre-audited in th man°ner reg2 d b the Local Government Budget and Fiscal Control Act: <br /> (�'� sZJ 11/13/2020 <br /> Office of the Chief Financial Officer 7-;E a 1ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as to le Yfi4 MIt?9Yifficiency: <br /> alAk , 1�Lavit. T�S(,b 11/13/2020 <br /> Office of the County Attorney p aF FR Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 <br />