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DocuSign Envelope ID:08D0248F-805E-457D-A5AE-255A3B862Dl7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Hidden Voices Party/Vendor Contact Person: Lynden Harris Contact Phone: 919-259-5527 <br /> Party/Vendor Address: 9602 Art Rd City Cedar Grove State: NC Zip: 27231 Department: Caty Mna Amount: <br /> 3,000 Purpose: 2020 Operations Support Grant Budget Code(s): 37601020-683010 Vendor# 53822 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑Nor-1 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 A4Date: 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: ,1_, 5/io20 <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: -,1,��6/20 0 <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 />