Orange County NC Website
0jq dmw 3 210 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name : Town of Chapel Hill Party/Vendor Contact Person : Eva Cohen Contact Phone : 919 . 969 .4952 <br /> Party/Vendor Address : 6900 Millhouse Road City Chapel Hill State : NC Zip : 27516 Department : Human Rights & <br /> Relations Amount : $ 1 , 548 . 00 Purpose : To provide full bus card for advertisment for the allotment of one F11 year . <br /> Budget Code(s) : 30460020 -790009 -71300 Vendor # 64 (N/A if new vendor) Vendor is a BOCC consultant ? Yes <br /> ❑ No ❑ Contract Type : (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by <br /> Board Yes ® No❑ Agenda Date . <br /> This agreement is approved as to technic 1 an o ent : I <br /> Department Director ' s Signature Date : <br /> Information Technolouies <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 /> Office of the Risk Management Officer azwoi: Date . l <br /> FiMrial Services <br /> This instrument has been pre- audited in the m err (by the Local Government Budget a Fis al Control Act : <br /> Office of the Chief Financial Officer Date : 7� <br /> Leizal Services <br /> This agreement is approved as to legal form and sufficiency . <br /> Office of the County Attorney LAW � ` �riU' Date : �D oZ '-� � 1 Cl <br /> Clerk to the Board <br /> Received for record retention : <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion : sing_ersollOmorangecount nY c . 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 10/ 17 (Nigr appry 5k 6/ 18) 4 <br />