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Docusign Envelope ID:2FCOB8F7-2BD4-4A70-8114-AB9DA3FE2055 <br /> ORANGE COUNTY-INTERNAL USE ONLY <br /> Finance Information <br /> Vendor Name: Kaylen Campbell Vendor Contact Person: Kaylen Campbell Phone:(919)914-4038 Address: 285 <br /> Exchange Park Lane City Hillsborough State:NC Zip:27278 Department:DEAPR-Recreation Amount: $2,400.00 <br /> Purpose: Basketball Instruction Budget Code(s): 10511020 630000 Vendor#68089 <br /> Vendor Status with NCSOS: Vendor is a BOCC consultant: ❑Yes ®No <br /> Contract Details <br /> Contract Type: ®New ❑Amendment(Original Contract: )(Most Recent Amendment ) <br /> Effective Date July 28,2025 End Date August 1,2025 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 /> Bidding <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 I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement. <br /> ❑ This agreement is approved as to technical form and content. Services related to this agreement have already begun <br /> or been completed.Description of t emergency condition that was addressed: <br /> Department Director's Signature Date: <br /> 6/28/2025 <br /> Information Technologies <br /> This agreement has been reviewed and is approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> ®Inapplicable because no hardware/software purchases or related services <br /> Risk Management <br /> This agreement is approved for sufficienc L <br /> ce stan�d�arrds,specifications,and requirements: <br /> Office of the Risk Management Office Tt )( Date:6/30/2025 <br /> Financial Services <br /> This instrument has been pre-audited i awe lrequired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer QOLVy 4�05,00. Date: 6/30/2025 <br /> Legal Services <br /> This agreement is approved as t cfievjfftdyd sufficiency: <br /> Office of the County Attorney J Date: 7 1 2025 <br /> ElMaMaF 8465... <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 /> Revised 01/24 4 <br /> Initial <br />