Orange County NC Website
DocuSign Envelope ID:A63A046B-84E8-41B3-90FC-8ABCBB921201 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Shana Overdorf Party/Vendor Contact Person: Shang, Overdorf<soverdorf98(&gmail.com> <br /> Contact Phone: 919-632-0598 Party/Vendor Address: 939 St Mary's St City Raleigh State: NC Zip: 27605 <br /> Department: County Manager Amount: $15,000.00 Purpose: Grantwriting Budget Code(s): 32470620-680021 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date 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 /> DocuSigned by: <br /> .�^ <br /> Department Director's Signature l MS A& � 1A, Date: 5/3/2019 <br /> Agreements for emergency services or repair are no OA3E81B12B364B4 . 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 /> DocuSigned by: <br /> Office of the Risk Management Officer �U$66 (,6�6 Date: 5/3/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer ('1) � � Date: 5/3/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney ]EAAM3aEMAW5- <br /> 61LW P lfs Date: 5/6/2019. <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 /> 8 <br />