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DocuSign Envelope ID: F9614B21-556E-42D5-A5C1-2B3EF7E3AB01 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Community Home Trust Party/Vendor Contact Person: Robert Dowling Contact Phone: <br /> (919) 967-1545 Party/Vendor Address: 109 Conner Drive, #1000 City Chapel Hill State: NC Zip: 27514 <br /> Department: H&CD Amount: $80,000 Purpose: Support of Operating and Capital Reserves Budget Code(s): <br /> 32471020-782610($60,000)and 10395020-720023 ($20,000) Vendor#59513 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date April 1,2019 Approved by Board Yes®No❑ Agenda Date: March 19,2019 <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 /> D"uSigned by: <br /> Department Director's Signature_ ►t S ¢W Date: 10/21/2019 <br /> 1fD42B07,,F42E4D7 - <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: N/A <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 - Docu5ignea by: As,specifications,and requirements: <br /> QU56 (,4�6 10/24/2019 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF917E800498- <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 /> 1.44 <br /> Office of the Chief Financial Officer sCC �w Date:10/25/2019 <br /> - 704E5981ACC1409- <br /> Legal Services <br /> This agreement is approved as tc ' oocusigned by: iciency: <br /> 10/25/2019 <br /> Office of the County Attorney � �� Date: <br /> 7D82CEC5109F429- <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 />