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DocuSign Envelope ID:97E7FB2F-4A49-4E05-994C-9FDFA565D6C7 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Mullens Coughlin Party/Vendor Contact Person: Carolyn Purwin Ryan Contact Phone: 267- <br /> 930-6836 Party/Vendor Address: 426 W. Lancaster Ave. City Devon State: PA Zip: 19333 Department: Risk <br /> Management Amount: $25,000.00 Purpose:Legal Budget Code(s): 10230220 630000 Vendor# (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ <br /> Amendment ❑ Effective Date 3/19/2021 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 /> 'r_SDepartment Director's Signature MJA. Date: 3/20/2021 <br /> Agreements for emergency services or repair are not su 80hembew 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 insurance Stan agb specifications,and requirements: <br /> ocu igne''""By:''ll� <br /> Office of the Risk Management Officer ElUSA, rbvvu lib Date:3/20/2021 <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 /> 3/20/2021 <br /> Office of the Chief Financial Officer R,t o a. Date: <br /> 7D40181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> 3/20/2021 <br /> Office of the County Attorney Date: <br /> 4035CB8304CA4A9... <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 /> 11 <br />