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ORANGE COUNTY-INTERNAL USE ONLY <br /> Finance Information T£ftct6et Os 1MfM68fa^KS(glq)452-4451 W4C41fo7AnL0 Hla54AkU61, N6 <br /> Vendor Name: Vendor Contact P�grson: Phone: Address:_ City_ State:_ <br /> Zip:21tlB Dwp rent: A AmounAl"1118.�'urpose£ll�tl5Budget Code(s):63 n Vendor#, (056 <br /> Vendor Status with NCSOS: Vendor is a BOCC consultant: ❑Yes ❑No <br /> Contract Details <br /> Contract Type: ew ❑ Amendment(Original Contract:_)(Most Recent Amendment_) <br /> Effective Date End Date r� Notice Date (Notice Purpose_) <br /> Award <br /> ❑Approved by Board(Agenda Date: ❑Made or Administered by <br /> Signature Authority <br /> - ❑BOCC Express Delegation(Agenda Date: <br /> - Policy 9.4: ❑Under$5,000; ❑ Service Under$90,000; ❑Construction Under$250,000 <br /> - ❑ Budget Policy Section XV(Capital Improvement Project: ) <br /> Biddine <br /> ❑ Informal Bidding($30k-$90k);❑ Formal RFP($90k+);❑Other(<$30k); ❑ Exception(#-----) <br /> Department Affirmation <br /> ❑ This agreement is approved as to technical form and content and 1 as Department Director affirmatively state <br /> Yt on this project has not been initiated prior to execution of the agreement. <br /> ervices related to this agreement have already kegun or been completed.Description of the nature of the <br /> ergency condition that was addressed: Ll e -11 Ot^ <br /> Department Director's Signature { Date: <br /> Information Technoloeies <br /> This agreement has been reviewed and is approved as to information technology content and specifications: <br /> AMFe of the Chief Information Officer Date: <br /> napplicable because no hardware/software purchases or related services <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer 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: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <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 /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 04/23 <br /> 9 <br />