Orange County NC Website
ao rg -l84f <br />ORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY <br />Department <br />Party /Vendor Name: UNC Partnerships in Aging Progam_ Party /Vendor Contact Person: Warren Ray Contact <br />Phone: Party/Vendor Address: 104 Airport Drive City Chapel Hill State: NC Zip: 27599 Department: <br />Aging Amount: $56,612 Purpose: MAP Housing consultant Budget Code(s): 10430020 - 630120 Vendor # 10419 <br />(N /AA if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br />Renewal ® Amendment ❑ Effective Date 7/01/17 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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of Risk Management ) C Date: d-c� F- <br />Financial Seirvices <br />This instrument has been pre- audited in the nn r u' d by the Local Government Budget and Fiscal Control <br />Act: <br />Office of the Chief Financial Officer Date: 121 <br />! d <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney a' Attu . ( (A _V L.'`— Date: 5 Na 11`6 <br />Clerk to the Board <br />Received for record retention: <br />Office of the Clerk to the Board `� Date: 5123-Ile, <br />Revised 10/17 <br />