R 2015-422-E Aging - UNC-Chapel Hill for MAP Housing Study

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DocuSign Envelope ID: 316CF52D-36A5-4EEC-A194-3625F55E259C ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: UNC-Chapel Hill Party/Vendor Contact Person: Cherie Rosemond Contact Phone: Party/Vendor Address: 104 Airport Dr., Suite 2200, CB 1350 City Chapel Hill State: NC Zip: 27599-1350 Department: Aging Amount: $49,800 Purpose: MAP Housing Study Budget Code(s): 10430020-630120 Vendor # 10419 (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: DocuSigned by: Department Director's Signature 1 �u- fi Date: 5/9/2015 B7E962D1BF454FA... Information Technologies i (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: DocuSigned by: Office of the Risk Management Office aus. r,6V17t t& Date: 5/11/2015 7FDCF9176800498... 4 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSi+gn__ed by: Office of the Chief Financial Officer l bVU Date: 5/12/2015 { 232DFFC2CFA847B... I Legal Services This agreement is approved as to legal form and sufficiency: ocuSigned by: Office of the County Attorney EA,� Da te: 8/11/2015 4035CB8304CA4A9... i• Clerk to the Board i Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oranaecoupiync.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: F. I f