Orange County NC Website
Browse       Search
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY C)t 4p (02g <br /> Department �Y J <br /> Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: Bill Webster Contact Phone: <br /> Party/Vendor Address: 405 Martin Luther King Jr Blvd City Chapel Hill State: NC Zip: 27514 Department: <br /> Aeina Amount: $50,000 Purpose: Senior Services Budget Code(s): 10430105-44400 ndor# 64 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check o e New ❑ Renewal <br /> Amendment ❑ Effective Date 07/01/2016 Approved by Board Yes❑No❑ Agenda 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 Risk Management /.Q Date: /! <br /> Financial Services <br /> This instrument has been pre-audited in th ma requ. d by the Local 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 legal f d su i 'ency: <br /> Office of the County Attorney ` Date: I 1 1 0 I(o <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />