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HomeMy WebLinkAboutR 2015-132-E Health - Deborah Hamlin-Aggrey for childcare training DocuSign Envelope ID: C45F5532-9DF3-4EDE-9DEE-CBF307447FF0 ORANGE COUNTYDEPARTMENT USE ONLY ______________________________________________________________________________ Department Party/Vendor Name: Deborah Hamlin-Aggrey Party/Vendor Contact Person: Deborah Hamlin-Aggrey Contact Phone: 919-448-6890 Party/Vendor Address: 5315 Sutteridge Court City Durham State: NC Zip: 27713 Department: Health Amount: $275 Purpose: Childcare Training Budget Code(s): 10-4151-(TBD) Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: Department Dir ________________________________________ Date: ________ Information Technologies (Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer________ ___________________________ Date: ________ Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer ___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board __________________________________________Date:_________ Revised 10/14 4