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DocuSign Envelope ID:9B278559-A2DF-4CEC-ADOA-524A3146DCA5 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Durham County Department of Public Health Party/Vendor Contact Person: Katie Mallette <br /> Contact Phone: 919-560-7692 Party/Vendor Address: 414 East Main Street City Durham State: NC Zip: 27701 <br /> Department: Health Amount: $15,000 Purpose: Analyze specimens and report findings Budget Code(s): <br /> 10414020-632000-71416 Vendor# 35482 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 11/30/2020 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> 1��RF... <br /> S{woly'f 11/24/2020 <br /> Department Director's SignatureDate: <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 sufficienc rof 4 istnt#l?ystandards,specifications,and requirements: <br /> &A, Chnu N 11/24/2020 <br /> Office of the Risk Management Officer 7FncFg17eann4os Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer �� O.Q n« errn9 Date: 11/25/2020 <br /> Legal Services <br /> This agreement is approved as t eglics,WN d sufficiency: <br /> Office of the County J Attorney AWAX, k4 , SCb Date: 1112512020 <br /> 7�A4Be256n�n�n... <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 6/19 <br /> 8 <br />