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DocuSign Envelope ID:62ADC21F-A825-4E2D-A14C-26E69B9A8702 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Communication Services for the Deaf and Hard of Hearing, Inc. Party/Vendor Contact Person: <br /> Kelle Owens Contact Phone: (336) 275-8878 Party/Vendor Address: 175 Revolution Mill Dr., Suite 15 City <br /> Greensboro State: NC Zip: 27405 Department: Human Rights & Relations Amount: 300 Purpose: Create and <br /> translate an American Sign Language video with the script provided by the County. Budget Code(s): 30460020- <br /> 790003-71300 Vendor#52302 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: <br /> (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ <br /> Agenda Date:November 10,2020 <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 /> 11/5/2020 <br /> Department Director's Signature E Rqrf=.RA 3` 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 was <br /> 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 insuran u vA*v' op''ecci�ifications,and requirements: <br /> Q�fSa cbvvurtb ll/5/2020 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner re od+{ goh"hocal Government Budget and Fiscal Control Act: <br /> s�.116e.L 11/6/2020 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and suf cierl 'gned by: <br /> Qk1, A, it, Tma 11/6/2020 <br /> Office of the County Attorney sR Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 4 <br />