Orange County NC Website
Revised 10/17 <br />ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: Habitat for Humanity Party/Vendor Contact Person: Jennifer Player Contact <br />Phone: (919) 932-7077 ext. 215 Party/Vendor Address: 88 Vilcom Center Drive, Suite L110 City Chapel Hill <br />State: NC Zip: 27514 Department: Housing and Community Development Amount: $211,830 Purpose: FY 17- <br />18 HOME Project Budget Code(s): 32473020 789012 47317 Vendor # 15086 (N/A if new vendor) Vendor is a <br />BOCC consultant? Yes ܆ No܈܈ Contract Type: (Check one) New ܈ Renewal ܆ Amendment ܆ Effective <br />Date June 1, 2018 Approved by Board Yes܈ No܆ Agenda Date: June 6, 2017 <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___________________________________ Date: ________ <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of Risk Management_____________________________________________ 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 />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: 12C19140-2C02-498E-AD84-772B4830D31B <br /> <br /> <br /> <br />