2017-627-E Co. Mgr. - NCCEH for LSA services for HMIS

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DocuSign Envelope ID: 364B59FA-42BE-4E61-913F-9E25D1 C7A94F ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: NCCEH Party/Vendor Contact Person: Denise Neunaber Contact Phone: 919-755-4393 Party/Vendor Address: PO Box 27692 City Raleigh State: NC Zip: 27611 Department: County Manager - Homeless Programs Amount: $22000.00 Purpose:LSA services for HMIS Budget Code(s):32470620 630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) New ® Renewal❑ Amendment ❑ Effective Date 7/1/17 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature LPtts VY�, Date: 11/10/2017 0A3E81 812836484... 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 sufficiency of insurance standards,specifications,and requirements: DocuSigned by: Office of the Risk Management Officer RiSA 11/12/2017 �� Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer 4 Date: 11/13/2017 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney El)ttuA, l°etvfs Date: 11/17/2017 EAA3D33ED8A8465... 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 8