Orange County NC Website
Browse       Search
Revised 10/17 <br />ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: EmPOWERment Party/Vendor Contact Person: Jabe Hunter Contact Phone: <br />Party/Vendor Address: 109 N. Graham Street City Chapel Hill State: NC Zip: 27516 Department: Housing and <br />Community Development Amount: $46,500 Purpose: HOME 2015 Budget Code(s): 32473020 781021 47315 <br />Vendor # 00658 (N/A if new vendor) Vendor is a BOCC consultant? Yes ܆ No܈ Contract Type: (Check one) <br />New ܈ Renewal ܆ Amendment ܆ Effective Date September 21, 2018 Approved by Board Yes܆No܆ <br />Agenda Date: <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: 1DB0D1D0-6B1C-4086-81CB-264D8410FEAB <br /> <br /> <br /> <br />