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Revised 10/17 <br />ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Habitat for Humanity of Orange County NC Party/Vendor Contact Person: Susan Levy <br />Contact Phone: 919-932-7077 Party/Vendor Address: 88 Vilcom Center Drive, Suite L110 City Chapel Hill State: <br />NC Zip: 27514 Department: Housing and Community Development Amount: $925,000 Purpose: Written <br />Agreements/Contract Budget Code(s): FY 2016 61370035-888020-10057- $915,334 and FY 2017 61370035- <br />889101-30003 - $9,666 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes No <br />Contract Type: (Check one) New Renewal Amendment Effective Date May 10, 2018 Approved by <br />Board Yes No Agenda Date: June 6, 2017 <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of Risk Management_____________________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br />DocuSign Envelope ID: C3173F25-6C4C-4A24-903D-06978EB7C4AE <br />5/10/2018 <br />5/10/2018 <br />5/15/2018