Orange County NC Website
ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : Orange County Housing and Community Development Department Party/Vendor Contact <br /> Person : Erika Brandt Contact Phone : 919 -245 -2490 Party/Vendor Address : 300 W. Tryon IS City Hillsborough <br /> State : NC Zip : 27278 Department : Town of Chapel Hill Office of Housing and Community Amount : Up to $ 490 , 860 <br /> Purpose : EHA Reimbursement Budget Code (s) : 32471005448141 - 95056 Vendor # (N/A if new vendor) <br /> Vendor is a BOCC consultant ? Yes ❑ No ® Contract Type : (Check one) New ❑ Renewal ❑ Amendment <br /> Effective Date 4/29/2021 Approved by Board Yes ® No ❑ Agenda Date : 1 /27/2021 <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 /> Asp <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 standards , specifications , and requirements : <br /> Office of the Risk Management Officer kdI qtf7! Date : <br /> G � <br /> Financial Services <br /> R <br /> This instrument has been pre- audited in the ma 4re d by the Local Government Budget a Fiscal Control 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 L.,Abf t . ' , � �t;- Date : � ' a <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 />