Orange County NC Website
Browse       Search
Revised 07/20 9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Party/Vendor Name: Inter-faith Council for Social Service Party/Vendor Contact Person: Jessica Aldave <br />Contact Phone: (919) 929-6380 Party/Vendor Address: 110 W Main St. City: Carrboro State: NC Zip:27510 <br /> Budget Code(s): N/A_ Vendor # N/A (N/A if new vendor) <br /> Contract Type: (Check one) New Renewal Amendment <br />Department: OCHCD Amount: N/A Purpose: <br />Vendor is a BOCC consultant? Yes No <br />Effective Date 10/13/20 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 />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: 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 sufficiency of insurance standards, specifications, and requirements: <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: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <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 />DocuSign Envelope ID: 0DAF9FD0-50F3-4E25-8009-175036A01F3E <br />10/27/2020 <br />10/27/2020 <br />10/27/2020 <br />10/28/2020