Orange County NC Website
DocuSign Envelope ID:97A85083-4649-4F90-9283-141A52E739BF DS <br /> rDS ORANGE COUNTY-DEPARTMENT USE ONLY [ <br /> Department <br /> Party/Vendor Name: Triangle J Council of Governments Party/Vendor Contact Person: Andrea Eilers Contact <br /> Phone: 919-558-2705,aeilers @tjcog.org Party/Vendor Address: 4307 Emperor Boulevard, Suite 110 City Durham <br /> State: NC Zip: 27703 Department: Energy and Environment Program Amount: $6,142 for Phases 1-2; Pending <br /> Approval $13,822 for Phases 3-6; Total Project $19,964 Purpose: Conducting a Triangle Regional Resiliency <br /> Assessment as detailed in Appendix A. Budget Code(s): 30750020-629000-71049 Vendor # 5855 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date April 1St,2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: Doc°Signed by: <br /> 24./ <br /> 5/10/2017 <br /> Department Director's Signature 9F880A46CF64498 Date: <br /> DocuSigned by: <br /> I J�(Ylt S 5/10/2017 <br /> Information Tec lyr,a im1A64473 <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 /> ,. -°DocuSiggned by: <br /> Office of the Risk Management Officer ' " Ca tA,t.,{fb Date: 5/10/2017 <br /> `--7 F DCF9176800498._. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer Date: 5/19/2017 <br /> D4E5181ACC1409__ <br /> Legal Services <br /> This agreement is approved as to c sufficiency: <br /> mi 5/24/2017 <br /> Office of the County Attorney Date: <br /> ED8A846G.._ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 <br /> 9 <br />