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2021-180-E Housing-NC DHHS Emergency Solutions Grant contract amendment
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2021-180-E Housing-NC DHHS Emergency Solutions Grant contract amendment
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Last modified
5/12/2021 10:47:30 AM
Creation date
5/12/2021 10:42:45 AM
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Contract
Date
11/18/2020
Contract Starting Date
11/18/2020
Contract Ending Date
11/18/2020
Contract Document Type
Contract
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DocuSign Envelope ID:6BA9D3D1-719B-42F7-A645-83C9267F2082 <br /> DocuSign Envelope 1D:6663A826-SSF2-42AC 9318 450A8E88CC56 Contract Number 00041435, Amendment Number 1 / Page 22 of 22 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: State ESQ Office Party/Vendor Contact Person: Lisa Worth Contact Phone: 919 <br /> 855-4993 Party/Vendor Address: 2101 Mail Service Center City Raleigh State:NC Zip:27699 Department: <br /> OCHCD Amount:no buddizet implications-certifications needed for grant award <br /> Purpose: ESG F -2l B5i dget Code(s): NIA Vendor #N/A W/A if new Je dor) Vendor is a]BOCC <br /> consultant? Yes No&ontract Type heck one)New Renewal Amendment Effective Date <br /> 11/18/20 Approved 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> DOcuSlgned by: '.. <br /> 11/18/2020 <br /> Department Director's Signature D42e0 <br /> 76CF42E4D7... 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: <br /> Information Technologic <br /> (Applicable only to harclivare/sofnvare 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 sufficiency ofz <br /> ' 11ARmt idards,specifications,and requirements: <br /> Office of the Risk Management Officer a "-ray" 11192020 <br /> 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: L <br /> A.-I&Io r d by: <br /> Office of the Chief Financla1 Officer Date: 11/19/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Docusigned by: 11/19/2020 <br /> Office of the County Attorney Date: <br /> 070MP525COWB.- <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 />
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