Orange County NC Website
DocuSign Envelope ID: EB294A71-C7D1-4EE4-82B7-60A6149320D4 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Inter-Faith Council Party/Vendor Contact Person: Jackie Jenks Contact Phone: 919-929-6380 <br /> Party/Vendor Address: 110_West Main Street City Carrboro State: NC Zip: 27510 Department: Social Services <br /> Amount: 14$ 0,150 Purpose: outside a gency funding + emer ency assistance program Budget Code(s): 10403020- <br /> 630000 Vendor# 1149 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoE Contract Type:(Check <br /> one) New ❑ Renewal N Amendment ❑ Effective Date July 1, 2018 Approved by Board Yes❑ No❑ <br /> Agenda Bate: <br /> This agreement is approved as to tei DocuSigned by: tent: <br /> I� �,d 6t& 10/10/2018 <br /> Department Director's Signature DAE1E198A83B455... Date. <br /> Information Technolozics <br /> (Applicable only to hardwarelsofhvare 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 Mana ement <br /> This agreement is approved for sufficient °oocusgnea by:`---`ds,specifications,and requirements: <br /> ,USX �,bV'ln.t 6 9/18/2018 <br /> Office of the Risk Management Officer 7FUCFS17ESOOags... Date: <br /> Financial Services <br /> This instrument has been pre-audited i Docusigned ay: the Local Government Budget and Fiscal Control Act: <br /> 41.4/1 10/10/2018 <br /> Office of the Chief Financial Officer 1ACC1409... _Date: <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: rlcy: <br /> ��.�,t��.�ry,�_ 10/10/2018 <br /> Office of the County Attorney 4035CB8304CA4M... 13FitC: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion'@ Doi loyd loyd@—oranp-vcounbmc.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 /> 7 <br />