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DocuSign Envelope ID:7AC7CCCD-2FEA-4C09-B2A3-FA4F14F912CE <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: North Carolina Emergency Management Party/Vendor Contact Person: Steve Powers <br /> Contact Phone: 919-575-4122 Party/Vendor Address: 401 Central Ave City Butner State: NC Zip: 27509 <br /> Department: Emergency Services Amount: $65,000 Purpose: Annual Emergency Management Performance Grant <br /> EMPG Budget Code(s): 30750020-629000-71049 Vendor# (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date <br /> Approved by Board Yes®No❑ Agenda Date: <br /> This agreement is approved as to technbcoalslIfo er by: <br /> content: <br /> ViKAAA, yffilt,S 7/22/2016 <br /> Department Director's Signatur Date: <br /> 5655BC891A64473... <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 Risk Management Date: <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 /> DocuSigned by: <br /> Office of the Chief Financial Office C—f7D4E5181ACC1409 7/22/2016 <br /> a 0...,& Date: <br /> .. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorne ��«v,ti Date: 7/22/2016 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />