Orange County NC Website
DocuSign Envelope ID:OD9C3OC7-89CF-436B-B606-20162ABF3lF9 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: John Roberts Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> City State: Zip: Department: Board of Commissioners Amount: Purpose: <br /> Budget Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date November 20, 2020 Approved by Board Yes <br /> ®No❑ Agenda Date:November 17,2020 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> project has not been initiated prior to execution of the agreement: <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 agreement <br /> have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technolouies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as <br /> 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&Wm4Wwd#vquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer rq'N Date: 11/2 3/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <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 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 />