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DocuSign Envelope ID:84A3155A-A144-473B-A734-5F98lE76AOF2 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Dispute Settlement Center Party/Vendor Contact Person: Frances Henderson&Maggie Chotas <br /> Contact Phone: 919-929-8800 Party/Vendor Address: 302 W. Weaver Street City Carrboro State:NC Zip: 27510 <br /> Department:BOCC-Clerk's Office Amount: 6,000 Purpose:BOCC Retreat Facilitation Budget Code(s): 10200020- <br /> 630000 Vendor#6127 (N/A if new vendor) Vendor is a BOCC consultant? Yes®No❑ Contract Type:(Check <br /> one)New® Renewal❑ Amendment ❑ Effective Date 11/17/2020 Approved by Board Yes®No❑ Agenda <br /> 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: 1 1 <br /> �".°�'�'`�' a, Ow. 11/24/2020 <br /> Department Director's Signature FAD1E093073D403... Date: <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: n/a <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 ii carMeeWMdards,specifications,and requirements: <br /> &A, C,bmU b 11/30/2020 <br /> Office of the Risk Management Officer 7FDCF91768o0498_ Date: <br /> Financial Services <br /> DocuSigned by: <br /> This instrument has been pre-audited in the manner r qui;� the Lo�overnment Budget and Fiscal Control Act: <br /> � sU 12/1/2020 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date; <br /> Legal Services <br /> This agreement is approved as to legal form and surici Dcyigned by: <br /> b� rbkY► 12/1/2020 <br /> Office of the County Attorney EAA3D33ED8A8465... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk <br /> Dng9 epppletion: occlerkdocs@orangecountync.gov <br /> The following signature block is for hard copiCFADlEO93073D403 <br /> Zly an trequiiC�(,for Docusign contracts: <br /> U�- VIJ�� 11/24/2020 <br /> Office of the Clerk to the Board _ Date; <br /> Revised 07/20 <br /> 9 <br />