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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name : City of Mebane Party/Vendor Contact Person : Daphna Schwartz Contact Phone : 919 -304 - <br /> 9223 Party/Vendor Address : 106 E Washington St City Mebane State : NC Zip . 27302 Department : Tax <br /> Administration Amount: 0 . 00 Purpose : Interlocal Agreement to value, bill, and collect property taxes for properties <br /> located in Mebane City and within Orange County Budget Code(s) . Vendor # (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No ❑ Contract Type : (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date 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 on <br /> 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 ar notAubjecvtoto 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 N/A Date : <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards , specifications , and requirements : <br /> Office of the Risk Management Officer N/A Date . <br /> ranci,a <br /> l er�' ces <br /> n Fi c 1 Control Act : <br /> h m e he Loc 1 Government Bud et a d s aThis instrument has been re audited m t e ann t ap q gOffice of the Chief Financial OfficerDate : <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency : <br /> Office of the County Attorney LA& 'U(W� Date : �'/ / r S 6 a 1 <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 />