Orange County NC Website
DocuSign Envelope ID:A379AF47-80ED-488F-91DA-3E719C94C770 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: NC DPS —EmergencManagement Party/Vendor Contact Person: David Leonard Contact <br /> Phone: 336-266-2642 Party/Vendor Address: 4236 Mail Service Center City Raleigh State: NC Zip: 27699 <br /> Department: Emergency Services Amount: N/A Purpose: Emergency Management Performance Grant Program <br /> (EMPG) Annual Agreement Budget Code(s): Vendor#N/A (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> UocuSigned by: <br /> Department Director's Signatur �f�� Date: 1/2/2019 <br /> Agreements for emergency service-. ..655BCMA64473. <br /> ,F, --. 1. ,act to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <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: DocuSigned by: <br /> Office of the Chief Financial Officer p 4 " Date: 1/2/2019 <br /> 704E51S1ACCAN- <br /> Legal Services <br /> This agreement is approved as to 1a 1 fn and c„fflr;ancy: <br /> OocuSigned by: <br /> Office of the County Attorne �+ ,aw _ Date:1/2/2019 <br /> 4035CB8304CA4M <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 /> Revised 12/18 <br />