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DocuSign Envelope ID:OEB5F5E6-5CCO-4398-9C1A-EB43F7042DAC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Exchange Family Center Party/Vendor Contact Person: Rachel Galanter Contact Phone: <br /> 919-321-8631 Party/Vendor Address: 3400 Croasdaile Dr STE 206 City Durham State: NC Zip: 27705 <br /> Department: Housing & Community Development Amount: $2800.00 Purpose: MI Training Budget Code(s): <br /> 32470620 - 630000 - Vendor # (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 4/l/21 Approved by Board <br /> 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 /> Swo, 4/4/2021 <br /> Department Director's Signature T 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 li "'�t'andards,specifications,and requirements: <br /> c7FDCF9176 <br /> 4/5/2021 <br /> Office of the Risk Management Officersooas9... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> s�o,Zalda 4/9/2021 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to le &f s!ffld k6fficiency: <br /> U.IA.bl.l, Atari, Tmo 4/9/2021 <br /> Office of the County Attorney 079A4Date: <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 /> 9 <br />