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DocuSign Envelope ID: 3A6lC21D-8335-4lC3-A89C-B80BEE158E1D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> DeparjMgnt <br /> Party/Vendor Name: Nice and Green Charing Solutions.L.L.C. Parrv/Vendor Contact Person: QhrLs Wesk(,- Contact <br /> Phone: 13.64Q4,9191 Party/Vendor Address: 1183 University Dr. #105-113 City Burlington State: NC' Zip: 27215 <br /> Department: Social Services Amount: $5,480 Purpose:LIQgLCIlea"in Y Budget Code(s): 10400120-630000 Vendor ft, <br /> I�L/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ] NoM Contract Type: (Check one) New <br /> Renewal El Amendment [I Effective Date Julyj,.2 15 Approved by Board. Yes[] NoM Agenda Date: <br /> This agreement is approved as to technical to <br /> 66st6w 5/24/2016 <br /> Department Director's Signature 96A&3B4&5--­ Date: <br /> Information jechnaloUies <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 Director of Information Technology_­.­­,.,_._ Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of i awaioamiards,specifications,and requirements: <br /> 5/24/2016 <br /> Office of Risk Management Date. <br /> Financial Services <br /> This instrument has been pre-audited in the man Mgttl Wdebyythe Local Government Budget and Fiscal Control Am <br /> Office of the Chief Financial Officer Bate: 6/10/2016 <br /> IeServices <br /> This agreement is approved as to legal form and s ic Pe"ned by <br /> Office of the County Attorney Date: 6/10/2016 <br /> Clerk to t,hcBoard <br /> Received for record retention: <br /> Office of the Clerk to the Board <br /> Revised 711.4 <br /> -------------------- <br />