Orange County NC Website
DocuSign Envelope ID:528CCFFB-7CA4-441C-AC6B-OA89AEFD9B15 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Dispute Settlement Center Party/Vendor Contact Person: Frances Henderson Contact Phone: <br /> 919-929-8800 ext. 11 Party/Vendor Address: 302 W. Weaver St., #A City Carrboro State: NC Zip: 27510 <br /> Department: County Manager's Office Amount: $5,400 Purpose: School Collaboration Facilitation Services <br /> Budget Code(s): 10395020-720052 Vendor#6127 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/6/19 Approved by <br /> 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 /> l�'�S �� 9/6/2019 <br /> Department Director's Signature aA3Ea16128364@4 . 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: <br /> Risk Management <br /> This agreement is approved for sufficiency of is17FDCF0176800408 <br /> Docusigned by: )ecifications,and requirements: <br /> &A �,4Wt&6 9/7/2019 <br /> Office of the Risk Management Officer . 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: �ocusigned by: <br /> ('� '� . 9/7/2019 <br /> Office of the Chief Financial Officer 7o4E51s1ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as to legal to DocuSigned by: <br /> C!AA3D33ED8AW5-- <br /> � K6�� 9/9/2019 <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 /> 8 <br />