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DocuSign Envelope ID:758215CF-OA18-45F8-8807-AB9OF35D5BA2 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Habitat Party/Vendor Contact Person: Jennifer Player Contact Phone: (919)932-7977 -Ext. <br /> 215 Party/Vendor Address: 88 Vilcom Center Drive, Suite L110 City Chapel Hill State: NC Zip: 27514 <br /> Department: Housing and Community Development Amount: $60,000 Purpose: FYI 8-19 HOME Project- Second <br /> Mortgage Assistance Budget Code(s): 32473020-789011-47318 Vendor# 15086 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective <br /> Date April 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 /> DocuSigned by: <br /> C� <br /> Department Director's Signature � Date:4/10/2019 <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, DocuSigned by: ds,specifications,and requirements: <br /> Office of the Risk Management Officer QuSa (h�b 7FDCF0176800408. Date: 4/10/2019 <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 /> s/1 .44� 4/11/2019 <br /> Office of the Chief Financial Officer 1ACC Date: <br /> 704E51S1409. <br /> Legal Services <br /> This agreement is approved as tc11079A4D525C0F4FB_ <br /> - Docusigned by: <br /> WAk f-A.YtI, l vS�b 4/11/2019 <br /> Office of the County Attorney 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 />