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DocuSign Envelope ID:3A8322DF-7E96-4ECD-9623-106BF4E7D3FD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: NC Coalition to End Homelessness Party/Vendor Contact Person: Matthew McDowell <br /> Contact Phone: 919.755.4393 x5008 Party/Vendor Address: PO Box 27692 City Raleigh State: NC Zip: 27611 <br /> Department: Housing & Community Development Amount: $25,000.00 Purpose: Database Management Budget <br /> Code(s): 32470620-630000- Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ❑ Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 7/1/20 Approved by Board <br /> 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 /> DocuSigned"b"yam <br /> 1nA9AQ71,r.FA9P4n7 <br /> 3/29/2021 <br /> Department Director's Signature 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 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 sufficiency noummdtotandards,specifications,and requirements: <br /> rbVlnt,{fb 3/30/2021 <br /> Office of the Risk Management OfficerLax 7FDCP9176800498 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 /> Office of the Chief Financial Officer ErD, B,, ,4 Date: 3/30/2021 <br /> Legal Services <br /> This agreement is approved as to leg oft"RIUMFficiency: <br /> aKku, ILL it, �SCD 3/31/2021 <br /> Office of the County Attorney 079A4o525coWR 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 />