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DocuSign Envelope ID:7892AA9B-8D55-444D-ACF5-4C871E67EC75 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Voices Chapel Hill Party/Vendor Contact Person: Susan Brunssen Contact Phone: 919-599- <br /> 4513 Party/Vendor Address: PO Box 3011 City Chapel Hill State: NC Zip: 27515 Department: Cn1y Mngr <br /> Amount: 3,000 Purpose: 2020 Operations Support Grant Budget Code(s): 37601020-683010 Vendor # 51428 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board 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 /> DocuSigned by: <br /> Department Director's Signature Date: 82 <br /> Agreements for emergency services r repair are n subject to the above affirmation. If services related to this <br /> A3EMUB364B4... <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 /> Office of the Risk Management Officer Ffil;fA. f AIAlow Date: �,, , i0 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer Date: 11 ,�00 <br /> 0 <br /> �M40181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorne Date: 020 <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 /> 6 <br /> Revised October 2020 <br />