Orange County NC Website
DocuSign Envelope ID:66F168C2-3C54-4274-9428-4F16B3F1802A <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Community Home Trust Party/Vendor Contact Person: Robert Dowling Contact Phone: <br /> (919) 967-1545 Party/Vendor Address: 109 Conner Drive, #1000 City Chapel Hill State: NC Zip: 27514 <br /> Department:Housing and Community Development Amount: $60,000 Purpose: Homebuyer Assistance—FYI 8-19 <br /> HOME Progr, am Budget Code(s): 32473020-789012-47318 Vendor# 59513 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date Anril 8,2019 Approved by Board: Yes®No❑ Agenda Date: 06/19/2018 <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 /> E <br /> DocuSigned by: <br /> +A" Cre <br /> Department Director's Signature Date:4/10/2019 <br /> 1EEOF29E7&A447B. <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: N/A <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 sufficienc-- o'cusi9gpn-tea_ay:.`-- -rds, specifications,and requirements: <br /> aUsa LQ b 4/10/2019 <br /> Office of the Risk Management Office Date: <br /> 7FOCF917880049,. <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 4 Date: 4/11/2019 <br /> 704E51S1ACCAN- <br /> Legal Services <br /> This agreement is approved as to DocuSigned by: <br /> 4/11/2019 <br /> Office of the County Attorney_1 079A4D525C0F4FB. 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 <br />