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DocuSign Envelope ID: 151F7C16-41CA-4F13-A111-44730D0886F2 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Community Home Trust Party/Vendor Contact Person: Kimberly Sanchez Contact Phone: <br /> 919-967-1545 Party/Vendor Address:PO Box 2315 City Chapel Hill State:NC Zip:27515 Department: OCHCD <br /> Amount: N/A Purpose: CoC Budget Code(s): N/A Vendor#N/A (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ NoD Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 2/1/21 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 /> DocuSigned."by::1 <br /> Department Director's Signature t�a SWlbv, Date:2/1/2021 <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: 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 of' "Wdards,specifications,and requirements: <br /> QUS& rbvvur[b 2/1/2021 <br /> Office of the Risk Management Officer Date: <br /> F91768e0�s--- <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: 2/1/2021 <br /> Legal Services <br /> This agreement is approved as to legal f OWMeiency: <br /> Office of the County Attorney alm, Auril. T Sib Date: 2/1/2021 <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 />