Orange County NC Website
DocuSign Envelope ID: EB5D5FB9-1F00-4836-9CE0-355AF8D06137 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: _grin sg ted I Waters Party/Vendor Contact Person: Chuck Rohre Contact Phone: 214 <br /> 608-7477 Party/Vendor Address: 14285 Midway Road, Suite 340 City Addison State: Texas Zip: 75001 <br /> Department: Human Resources Amount: $24,500 Purpose: Executive Recruitment Budget Code(s): <br /> 10295020/720018 Vendor#64459 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date March 1, 2019 Approved by Board <br /> 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 /> DocuSigned by: .�! <br /> l C bb(,6k w 2/25/2019 <br /> Department Director's Signature 7gFC4990286C4F2 Date: <br /> Agreements for emergency services or repair are not subject 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 sufficient �ocusigned by, rds,specifications,and requirements: <br /> SUS& �,bVln.A6 2/26/2019 <br /> Office of the Risk Management Office 7FDCF9f788004,N- 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 /> A . 2/26/2019 <br /> Office of the Chief Financial Officer 7oaE5981ACCAN- Date: <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: ncy: <br /> h 2/26/2019 <br /> Office of the County Attorney 4035CB8304CA4M Date: <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 8 <br />