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Revised 10/17 <br />9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <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: 3,000 Purpose: Project <br />management and meeting faciliation by TJCOG, the Provider, as Stage 2 for the project described in Attachment A <br />to amend and disseminate the TRIANGLE REGIONAL RESILIENCY ASSESSMENT. The contract outlining <br />Stage 1 was signed on May 24, 2017. Budget Code(s): 10240020-630000 Vendor # 5855 (N/A if new vendor) <br />Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment <br />Effective Date July 1st, 2018 Approved by Board Yes No Agenda Date: <br />This agreement is approved as to technical form and content: <br /> <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___________________________________ Date: ________ <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 />DocuSign Envelope ID: 2000DA7F-9978-48A1-8458-8C7628BD4EA2 <br /> <br /> <br /> <br /> <br />