Orange County NC Website
DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract#68-1018 <br /> The Dispute Settlement Center, Inc. <br /> ORANGE COUNTY--DEPARTMENT USE ONLY <br /> PartyNendor Name: The Dispute Settlement Center.Inc. Party/Vendor Contact Person: Frances Henderson Contact Phone:919-929- <br /> 8800 Party/Vendor Address:302 West Weaver Street City Carrboro State:NC Zip:27510 Department:Social Services Amount:$5,000 <br /> Purpose:dispute resolution Budget Code(s): 10403020-630000 Vendor#6127 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes❑No❑ Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date July 1,2019 Approved by Board Yes <br /> ❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not <br /> been initiated prior to execution of the agreement: <br /> Dom Signed by, <br /> N (him Date: <br /> Department Director's Signature Date: <br /> DAE1E198A83B455 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficient oocusigned 6y:----'-rds,specifications,and requirements: <br /> aUSA cbm.t 6 7/9/2019 <br /> Office of the Risk Management Office 7FDCF0176800408. Date. <br /> Financial Services <br /> This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> 7/10/2019 <br /> Office of the Chief Financial Officer 7D4a1acC,4o9. Date: <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: ncy: <br /> Office of the County Attorney Date.7/11/2019 <br /> 4035C68304CA4A9 <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 /> Contract-General (06/19) Page 4 of 4 <br />