R 2017-223-E Housing - Brian Ashburn for contract services

Browse Search

DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Brian Ashburn Party/Vendor Contact Person: Brian Ashburn Contact Phone: 919.426.8801 Party/Vendor Address: 100 Hillside Drive City Louisburg State: NC Zip: 27549 Department: HHRCD Amount: Purpose: Contract Services Budget Code(s): 324730206300047316 Vendor # 64426 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date April 1,2017 Approved by Board Yes' No Agenda Date: This agreement is approved as to to n'Mjggildarnd content: Department Director's Signature Date: 4/26/2017 Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficienc .bmd; g_ .standards, specifications, and requirements: MSA rbvvutl6 4/26/2017 Office of the Risk Management Office Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited i ecrtilAirittbFequired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office Date: 6/19/2017 D4C5181ACC1409... Legal Services This agreement is approved as toclegst��#,9 a l d sufficiency: Office of the County Attorney ah btu, ark, Date:6/19/2017 `-079A4D525C0F4FB... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 2/17 5