HomeMy WebLinkAboutR 2016-621-E Housing - Communication Services for Deaf and Hard of Hearing - ASL & Transliteration DocuSign Envelope ID: EEOD7A24-3C3D-485C-AE8B-53FC4F6128E1
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ORANGE COUNTY—DEPARTMENT USE ONLY
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Department
Party/Vendor Name: Communication Services for Deaf and Hard of Hearing (CSDHH) Party/Vendor Contact
Person: Kelle Owens Contact Phone: 336-2758878 Ext 7 Party/Vendor Address: 1175 Revolution Dr. Studio 15
City Greensboro State:NC Zip: 27405 Department: HHR&CD Amount: $5,000 Purpose: ASL&Transliteration
Services Budget Code(s): There is no code in this document because each Department pays for expenses out of their
budget as services are utilized. Vendor#52302 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No
® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7/1/2016 Approved by
Board Yes❑No❑ Agenda Date:
form �g nt t:
This agreement is approved as to technical ����,,��
g 1�1� VocSi5lgne�:
Department Director's Signature a "° d d Date: 11/1/2016
A13FC071FOB64E0...
Information Technologies
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(Applicable only to hai dtivare/softtvare purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
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Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
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Docu5ignedby: ���.
Office of the Risk Management Officer
Q�Sa. ChnttN Date: 11/2/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer
pd Date: 11/2/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date: 11/2/2016
4035CE8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Dolma Lloyd upon completion @ Dolioy_d(rvorangecount t�i4ov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board Date:
Revised 10/16
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