Orange County NC Website
DocuSign Envelope ID:6D54E8BA-1794-4F70-B78E-1EA897E6B473 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: North Carolina Department of Commerce Party/Vendor Contact Person: Iris Panne Contact <br /> Phone: 919-814-4663 Party/Vendor Address: 301 North Wilmington Street City Raleigh State: NC Zip: 27601 <br /> Department: HousinWCommunity Development Amount: $900,000 Purpose: CDBG-CV funds for Emergency <br /> Housing Assistance Budget Code(s): 32471005-442238-95052 Vendor#N/A (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 1/19/2021 Approved by Board Yes®No❑ Agenda Date: 10/6/2020 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DOCUSigned by: <br /> Department Director's Signature t�a �l hv, Date: 1/19/2021 <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 sufficienc Vustandards,specifications,and requirements: <br /> Office of the Risk Management Officer auso, C,bV1n&6 Date: 1/19/2021 <br /> Financial Services <br /> This instrument has been pre-audited in onodiquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer lJ.'0'4 Date: 1/21/2021 <br /> Legal Services <br /> This agreement is approved as t fid sufficiency: <br /> Office of the County Attorney a t, 1-6S(h Date: 112112021 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 <br />