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DocuSign Envelope ID:79AD4169-A051-4C1D-B9BF-7F9416698545 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Compass Center for Women and Families Party/Vendor Contact Person: Ardith Burkes <br /> Contact Phone: 919-968-4610 Party/Vendor Address: P.O. Box 1057 City Chapel Hill State: NC Zip: 27514 <br /> Department: CJRD Amount: $60,000 Purpose: DV LAP Services Budget Code(s): 10795020 720305 Vendor# <br /> 65198 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 5/1/21 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 /> 6a6 <br /> Department Director's Signature � taLvp,_ Date: 4/30/2021 <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 insurr&., <br /> �a�taa , specifications,and requirements: <br /> Cb�t�,t 6 <br /> Office of the Risk Management Officer Date:5/3/2021 <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 /> Office of the Chief Financial Officer 01. Date: 5/3/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and suf igned by: <br /> Office of the County Attorney 4 4 1� Date: 5/3/2021 <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 />