Orange County NC Website
Browse       Search
<br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: William Webster Contact Phone: 919- <br /> 968-2819 Party/Vendor Address: 405 Martin Luther King Jr Blvd City Chapel Hill State: NC Zip: 27514 <br /> Department: Aging Amount: $50,000 Purpose: Senior Services Budget Code(s): 10430105-444002 Vendor#64 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br /> Renewal ® Amendment ❑ Effective Date 7/01/2015 Approved by Board Yes❑ No❑ Agenda <br /> Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: —.- <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> 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 of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer , z � per` Date: J <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer T� Q Date: <br /> bo <br /> Legal Services <br /> This agreement is approved as to legal and s ciency: <br /> Office of the County Attorney Date: �? 1� <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecogntync.gov <br /> The following signature block is for harSko ' s my and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br />