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Revised 12/18 4 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br /> <br /> <br />Party/Vendor Name: Lesly Penick Party/Vendor Contact Person: Lesly Penick Contact Phone: 919-423-4130 Party/ <br />Vendor Address: 4128 Cobblestone Place City Durham State: NC Zip: 27707 Department: Housing Amount: $3,000 <br />Purpose: Provide Spanish interpretation and translation regarding Fair Housing Cases Budget Code(s): <br />30460020-790006-71300 Vendor # 65576 (N/A if new vendor) Vendor is a BOCC consultant? Yes No <br />Contract Type:(Check one): New Renewal Amendment Effective Date December 1, 2022 Approved by <br />Board Yes No Agenda Date: <br /> <br /> <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 /> <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: <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 />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 />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 />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 />Docusign Envelope ID: C5238902-186E-4A31-8D1B-71F0A0EB1BE5 <br />9/17/2024 <br />9/18/2024 <br />9/18/2024 <br />9/20/2024 <br />Docusign Envelope ID: F7CB9190-E325-467F-B453-384FDC5E9311