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DocuSign Envelope ID:02DCE0E9-D904-4DA8-ADBC-A8B3110E02A4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Quality Inn Chapel Hill Party/Vendor Contact Person: Martina Brooks,Area Director of Sales <br /> Contact Phone: 919-904-7712 Party/Vendor Address: 1740 Fordham Blvd. City Chapel Hill State: NC Zip: 27514 <br /> Department:Emergency Services Amount:75,271.00 Purpose:Decongregation of High Risk Population at IFC Shelters <br /> Budget Code(s): 10750020-630000-95020 Vendor#61672 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 5/10/2020 Approved by <br /> 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 <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> FVk,OLi ,^�t its 5/8/2020 <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 of insurance e09cifications,and requirements: <br /> Office of the Risk Management Officer auSa CbV1n&b Date: 5/8/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner re . dob�sith®alwcal Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 5/8/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and suffi 01guSigned by: <br /> Office of the County Attorney Date: 5/8/2020 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 /> 10 <br />