Orange County NC Website
Browse       Search
DocuSign Envelope ID:28A8A252-F014-4446-9598-A26A9CC7CD1F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Jav Bryan Mediation and Consulting Party/Vendor Contact Person: Jav Bryan Contact <br /> Phone: 919-608-3570 Party/Vendor Address: PO Box 433 City Carrboro State: NC Zip: 27510 Department: <br /> BOCC/Clerk to the Board Amount: $20,000 Purpose: BOCC Elections Advisory Group Facilitation Budget <br /> Code(s): 10200020-630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ® No[—] <br /> Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date March 17,2021 Approved by <br /> Board Yes❑No® Agenda Date:N/A <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: <br /> (AWA, �U&SU& 3/17/2021 <br /> Department Director's Signature ooeca---------1 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 sufficienc r4fiiaa&rwe®ystandards,specifications,and requirements: <br /> Q�ISa rbrvuTTb 3/17/2021 <br /> Office of the Risk Management Officer 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 /> 3/17/2021 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to Pf nft1iWsufficiency: <br /> �6 p 3/18/2021 <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 /> Revised 07/20 <br /> 9 <br />