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ORANGE COUNTY---DEPARTMENT USE ONLY - O��I✓ �°� <br /> Y -HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: US Department of Housing and Urban Development Party/Vendor Contact Person: Matthew <br /> King Contact Phone: 33-547-4000ext. 2802 Party/Vendor Address: 1500 Pinecroft Road, Suite 401 City <br /> Greensboro State: NC Zip: 27407 Department: Homelessness Partnership Amou 17,000 Purpose: Receipt of <br /> Continuum of Care Program Grant NC03401,4F131500 Budget Code(s): 32470605)- 449008 kpdor # <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contra Type: (Ch one) New ❑ <br /> Renewal® Amendment ❑ Effective Date 8/30/16 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: p <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 Risk Management Date: <br /> Fin ncial Services <br /> This instrument has been pre-audited in the in requ' by the ocal Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to 1 1 rm suf iency: Q <br /> Office of the County Attorney Date: -6 1 <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />