Orange County NC Website
DocuSign Envelope ID:4A7C30A7-BFCF-4388-AA27-9F36046C30B4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Housing for New Hope Party/Vendor Contact Person: Kristi Page Contact Phone: <br /> 919.489.6282 Party/Vendor Address: 18 W. Colony Place, Suite 250 City Durham State: NC Zip: 27705 <br /> Department: OCHCD Amount: N/A Purpose: MOU Budget Code(s): N/A Vendor#N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 1/30/21 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 execution of the agreement: <br /> [Li�GF42641)7 <br /> ned""b""yam� <br /> SW�bv, 2/1/2021 <br /> Department Director's Signature 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: 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 rim morn standards,specifications,and requirements: <br /> QUsx CbVln t }b 2/1/2021 <br /> Office of the Risk Management Officers Date: <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 /> Office of the Chief Financial Officer Date: 2/3/2021 <br /> Legal Services <br /> This agreement is approved as to ga DPB"" tr§ufficiency: <br /> Qkkv� kayiG Tm(h 2/3/2021 <br /> Office of the County Attorney rvonansxcnFaFa Date: <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 /> 9 <br />