Orange County NC Website
Browse       Search
DocuSign Envelope ID: D85B2236-1A18-4BDE-8A9A-245048A55E47 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Jacob Dowdle Party/Vendor Contact Person: Jacob Dowdle Contact Phone:843-991-5792 Party/Vendor <br /> Address:425 W King St City Hillsborough State:NC Zip:27278 Department: Cnty Mngr Amount:2,000 Purpose:2 month <br /> lease extention for Eno Mill Budget Code(s):37601003-470508-71390 Vendor#na (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No❑ Contract Type:(Check one)New❑ Renewal❑ Amendment ❑ Effective Date Approved <br /> 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 on this project <br /> has not been initiated prior to execution of the agreement: <br /> ocuSignedd by: <br /> Department Director's SignatureF�rawuS ' -"1vtvu Date: 2/12/2021 <br /> Agreements for emergency services or ref WRiTHWAubject to the above affirmation. If services related to this agreement have <br /> 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 to <br /> 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 /> DocuSigned"by: <br /> 'll <br /> Office of the Risk Management Officerra- <br /> �ISa rbVln.t,{fb Date: 2/14/2021 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the 64ggi6gq1o�ed by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer <br /> (� ta Date: 2/15/2021 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to �b&&EwwW:sufficiency: <br /> Office of the County Attorney �'"4 hw— Date?/21/2021 <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 December 2021 <br />