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DocuSign Envelope ID: 14914F57-0776-4620-B8A1-38CBD9CC5A22 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Father's on the Move Party/Vendor Contact Person: Bishop Victor Glover Contact Phone: <br /> 919.338.9563 Party/Vendor Address: 503 West Franklin St City Chapel Hill State: NC Zip: 27516 Department: <br /> Sheriff's Office Amount: $25,000 Purpose: Transitional services for males involved in the criminal justice system <br /> Budget Code(s): Sheriff's Office General Fund Vendor# (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes❑No® Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date October 31,2020 <br /> Approved by Board Yes®No❑ Agenda Date: October 20,2020 <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 /> Sent 4,unRe.A- U44)C.5"4 11/10/2020 <br /> Department Director's Signature aseaECFSDs2944B... 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: <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 in Hv&Nfffftds,specifications,and requirements: <br /> E7FDCF9176800498 <br /> ura. (hnk TTb 11/10/2020 <br /> Office of the Risk Management Officer . Date: <br /> Financial Services <br /> This instrument has been pre-audited in the mann regViY 8"ffMe Local Government Budget and Fiscal Control Act: <br /> rIa�y 0.alda.. 11/11/2020 <br /> Office of the Chief Financial Officer ('�FV.,`n,oc... Date: <br /> Legal Services <br /> This agreement is approved as to legal form anITb <br /> 11/11/2020 <br /> Office of the County Attorney A3D33ED8A8465... Date: <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 07/20 <br />