Orange County NC Website
Docusign Envelope ID:4E123FB4-8F86-4666-8994-3D11DA418116 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: City State: Zip: Department: Amount: Purpose: <br /> Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date <br /> Approved by Board Yes❑Non Agenda Date: <br /> This agreement is approved as to tech n' if adA)content: <br /> Department Director's Signature ��t& -��,r Date: 6/26/2025 <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed <br /> and is 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 )ce standards,specifications,and requirements: <br /> Office of the Risk Management Officer 8 fi-"D- Date: 6/27/2025 <br /> €A94-89-B3GBG4E- <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to leg .JJac6sufficiency: <br /> Office of the County Attorney r��,,a'Tk& V WhJAA Date: 6/30/202 5 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a orangecoun.nc. og_v <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 />