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DocuSign Envelope ID : D68C6EE8 -33AC -4461 - 81 B3 - E550D7F1 BB10 <br /> d j .2 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : Habitat for Humanity Parry/Vendor Contact Person : Jennifer Player Contact Phone : 919 <br /> 932 -7977 — Ext . 215 Party/Vendor Address : 88 Vilcom Center Drive , Suite L110 City Chapel Hill State : NC Zip : <br /> 27514 Department : Housing and Community Development Amount : Up to $ 68 , 000 Purpose : Renovation of <br /> Transferred Surplus Property Budget Code (s) : 32470320 -78251047440 Vendor # (N/A if new vendor) <br /> Vendor is a BOCC consultant ? Yes ❑ No ® Contract Type : ( Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date December 4 , 2017 Approved by Board Yes ® No ❑ Agenda Date : September 5 , 2017 <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 ummoution of the agreement . <br /> 51soe4 a Warw 5 / 2 8 / 2 019 <br /> Department Director ' s Signature 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 : The unit had to be moved quickly due to the construction of the new Field House near the Sports <br /> Plex . In addition, the old, existing MH had to be moved and a new foundation laid before this unit could be brought <br /> to the site for renovation . <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 mrfliageystandards , specifications , and requirements : <br /> Q�iSa �,brw�,� tb 5 / 29 / 2019 <br /> Office of the Risk Management Officer c 0049801 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 /> Aft 5 / 30 / 2019 <br /> Office of the Chief Financial Officer r Date : <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency : <br /> Office of the County Attorney fr 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 />