Orange County NC Website
DocuSign Envelope ID: BOFE06B7-7OC7-44D2-A46C-D4lE904EED9B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: OCHCD Party/Vendor Contact Person: E Sutton Contact Phone: 919-245-2490 Party/Vendor Address: <br /> 300 W Tryon St City Hillsborough State: NC Zip: 27278 Department: 4800 Amount: $195,000 Purpose: CARES (CRF)- <br /> NCDHHS Budget Code(s): 32470620-782630-95051 Street Outreach$5000.00;32470620-782631-95051 Essential Move-In <br /> $57,163; 32470620-782632-95051 Homelessness Prevention $30,000.00; 32470620-782633-95051 Unit Upfits $15,000.00; <br /> 32470620-782634-95051 Hotel Assistance$14,000.00;32470620-630315-95051 Landlord Incentives$50,000.00;32470620- <br /> 633300-95051 $4,500.00; 32470610-510000-95040 Permanent Salaries(RRH Case Manager) $19,337. Vendor#N/A(N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes X No❑ Contract Type: (Check one)New Renewal ❑ Amendment <br /> X Effective Date 10/01/20 Approved by Board Yes X No❑ Agenda Date: 10/01/20 <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 /> DocuSigned.b�yll <br /> Department Director's SignatureFwtt� S bw Date: 11/11/2020 <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 Technologies <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 1111% �'"'��fa'ndards,specifications,and requirements: <br /> Q�1Sa rbvv�.t lTb 11/11/2020 <br /> Office of the Risk Management Officer 7FDCFs17s800as8... Date: <br /> Financial Services <br /> DocuSigned by: <br /> This instrument has been pre-audited in the En4E5181ACC1409 <br /> er regeed the Local Government Budget and Fiscal Control Act: <br /> O 11/11/2020 <br /> Office of the Chief Financial Officer ... Date: <br /> Legal Services <br /> DocuSigned by: <br /> This agreement is approved as toEew1 form end suffi iency: <br /> bi.Ak I�LU�IL �S(0 11/11/2020 <br /> Office of the County Attorney 079A4D525COF4FB... 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 />