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DocuSign Envelope ID:AF6861FF-FEEA-45AD-BFB5-3567D65B7C05 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Town of Hillsborough Party/Vendor Contact Person: Eric Peterson Contact Phone: 919-296- <br /> 9421 Party/Vendor Address: 101 E.Orange Street City Hillsborough State:NC Zip:27278 Department:Emergency <br /> Services Amount: Purpose: Budget Code(s): Vendor# (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New X Renewal ❑ Amendment ❑ Effective <br /> Date 11/17/2020 Approved by Board YesX Non Agenda Date: 11-17-2020 <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 /> Department Director's Signature rvl"� ,t�ts Date: 1112012020 <br /> 56558C 91A 473.. <br /> Agreements for emergency services or repair are no NA J4ei t 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 /> DocuSigned by: <br /> a(�sa <br /> Office of the Risk Management Officer . Cevrn tb Date: 12/1/2020 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner r equiPe6brftyLocal.Government Budget and Fiscal Control Act: <br /> 0sm,L 12/1/2020 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and�uff�cier�r : <br /> , <br /> 12/2/2020 <br /> Office of the County Attorney ocu iie WJ1_ Date: <br /> 4035CB8304CMA9... <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 />