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Revised 10/17 <br />ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Community Home Trust Party/Vendor Contact Person: Robert Dowling, Executive Director <br />Contact Phone: (919) 967-1545 Party/Vendor Address: 109 Conner Drive # 1000 City Chapel Hill State: NC Zip: <br />27514 Department: Housing and Community Development Amount: $16,670.90 Purpose: CHT homeownership <br />project Budget Code(s): 3247302078901147313 Vendor # (N/A if new vendor) Vendor is a BOCC consultant? <br />Yes No Contract Type: (Check one) New Renewal Amendment Effective Date July 13, 2018 <br />Approved by Board Yes No Agenda Date: June 5, 2018 <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: 5C622784-3DD9-4F2B-8D53-D3D3E1D35BD4 <br />7/24/2018 <br />8/9/2018 <br />8/9/2018