Orange County NC Website
Browse       Search
✓ 1 <br /> Ntw alIt c tm /o <br /> ORANGE COUNTY-DEPARTMENT USE ONLY � 2 <br /> Party/Vendor Name : North Carolina Department of Environmental Quality (NCDEQ) Party/Vendor Contact <br /> Person : Kim Nimmer Contact Phone : (919 ) 707 -9019 Party/Vendor Address : 512 N . Salisbury St . ( 1611 Mail <br /> Service Center) City Raleigh State : NC Zip : 27699 Department : Division of Water Resources — Water Pla <br /> Section Amount: Varies year to gear Purpose : 1 . 5 % Jordan Lake Allocation Budget Code (s) : endor # <br /> SZ 01 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® Contract Type : (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date When executed by the Chairman of the NC Environmental <br /> Management Commission Approved by 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 xecution of the Bement : <br /> Department Director ' s Signatur / Date ` <br /> Agreements for emergency services or repa ' are not s t to the above affirmation . If servic s rela d to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed : <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 of insurance standards , specifications , and requirements . <br /> Office of the Risk Management Officer ' Date : <br /> Financial Services <br /> This instrument has been pre- audited in the nner re by the Local Government Budget and Fiscal Control <br /> Act : <br /> Office of the Chief Financial Officer Date . 12LII 7117 <br /> Legal Services <br /> This agreement is approved as to legal for ands cy : <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 : snngersoll@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 Boardw Date : Wz 0 <br /> Revised 12/ 18 <br />