Orange County NC Website
DocuSign Envelope ID:5F7D644C-4F40-44B4-A535-1E45695749C4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name:Nan McKay Party/Vendor Contact Person:Jason Lee, Senior Regional Account Manager <br /> Contact Phone: 800-783-3100 ext. 146 Party/Vendor Address: 1810 Gillespie Way Ste.200 City E1Cajon State: <br /> CA Zip: 92020 Department:Housing and Community Development Amount:NTE$90,000 Purpose: Contract <br /> services for HCV administration Budget Code(s): 33480020-630000Vendor#29899 (N/A if new vendor)Vendor <br /> is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New M Renewal ❑ Amendment ❑ <br /> Effective Date March 23,2020 Approved by Board Yes❑NoM Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DacuSigned by: <br /> ►��a SutfbV_ 3/18/2020 <br /> Department Director's Signature—[Da2e07sCF42E4D7... Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation.If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency r DocuSigned by: s,specifications,and requirements: <br /> aUS& CbY1n.�,{�6 3/18/2020 <br /> Office of the Risk Management Officer_ Date: <br /> 7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited ip+hP manner ren,,;rPd hil the Local Government Budget and Fiscal Control <br /> DocuSigned by: <br /> Act: 0 <br /> 3/19/2020 <br /> Office of the Chief Financial Officer 7DaE5aa1ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as C qDocuSigned by:UtUtl. �4tYYl. 1_6$Ce 3/19/2020 <br /> Office of the County Attorne 079A4D525C0F4FB... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied— DocuSigned by:--" pon completion: singersoll@orangecountync.gov <br /> The following signature block is for h f�DGC2AECC91M46C <br /> 4e� to d not required for Docusign contracts: <br /> Office of the Clerk to the Board . Date: 3/26/2020 <br /> Revised 11/19 <br /> 9 <br />