Orange County NC Website
8 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Michael Webb Party/Vendor Contact Person: Michael Webb Contact Phone: 419- <br />234-5207 Party/Vendor Address: 306 Estes Drive Ext #D16 City: Carrboro State: NC Zip: 27510 <br />Department: Housing and Community Development Amount: NTE $5,000 Purpose: HOME Consolidated <br />Plan Consulting Budget Code(s): 32473020-630000-47319 Contract Type: (Check one) New _ Renewal <br />… Amendment … Effective Date: 01/17/20 Approved by Board: Yes … No _ <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively <br />state work on this project has not been initiated prior to execution of the agreement: <br /> <br /> <br />Department Director’s Signature __________________________________ Date: _________ <br />Agreements for emergency services or repair are not subject to the above affirmation. If services related <br />to this agreement have already begun or been completed please briefly describe the nature of the <br />emergency condition that was addressed: <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer______________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and <br />Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney ______________________________________ Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon <br />completion: singersoll@orangecountync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br /> <br />Office of the Clerk to the Board ____________________________________ Date:_________ <br />DocuSign Envelope ID: D6562334-32FE-4433-A1AF-39F7CFBCF05F <br />