2021-174-E Housing-Quality Inn sheltering amendment

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DocuSign Envelope ID:9A5998B9-B8C1-4BF9-AABD-B0624D1C9E6B ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Quality Inn Chapel Hill Party/Vendor Contact Person: Martina Brooks,Area Director of Sales Contact Phone:919-904-7712 Party/Vendor Address: 1740 Fordham Blvd City Chapel Hill State:NC Zip:27514 Department:Housing and Community Development Amount:$615,902.00 Purpose:Decon,gregation of High Risk Population at IFC Shelters Budget Code(s): 10750020-630000-95024 Vendor# 61672 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New❑ Renewal❑ Amendment ® Effective Date March 10,2021 Approved by Board Yes ❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: DocuSigned'by: `Ai(A S %A, 3/18/2021 Department Director's Signature rF49Fan7 Date: Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency ia§lgggfAtstandards, specifications,and requirements: Office of the Risk Management Officer Q�tSa rbmdtb Date: 3/18/2021 Financial Services This instrument has been pre-audited i spquired by the Local Government Budget and Fiscal Control Act: fl-N ,� o,L 3/18/2021 Office of the Chief Financial Officer N ZD4E�� 409 Date: Legal Services This agreement is approved as to lega 4ficiency: Qb kul tr T6SCb 3/19/2021 Office of the County Attorney Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised October 2020