Orange County NC Website
9 <br />Revised 07/21 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Lien Thi Hong Nguyen Party/Vendor Contact Person: Same Contact Phone: 919-244-3651 <br />Party/Vendor Address: 101 Windwick Ct. City Cary State: NC Zip: 27518 Department: HR&R Amount: $4,999.99 <br />Purpose: Vietnamese Interpretation Budget Code(s): There is no code in this document because each Department pays <br />for expenses out of their budget as services are utilized Vendor # 67183 (N/A if new vendor) Vendor is a BOCC <br />consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 6/24/2021 <br />Approved by Board Yes No Agenda Date: --- For Section XIV. c. contracts only, Approved by Board <br />in Current FY Budget Yes No <br /> <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 /> <br /> <br />Department Director’s Signature ________________________________________ 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 was <br />addressed: Social Services had an emergency need for a Vietnamese interpreter before we could get the contract in <br />place <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br />DocuSign Envelope ID: 489177C2-9D4E-4D86-8B77-F20A88D1C2DC <br />7/21/2021 <br />7/21/2021 <br />7/22/2021 <br />7/22/2021