Orange County NC Website
Revised 11/19 <br />ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ <br /> <br />Party/Vendor Name: Town of Carrboro, Town of Chapel Hill, and Orange County Party/Vendor Contact Person: <br />Christopher J. Sandt, P.E. Contact Phone: 919-245-2583 Party/Vendor Address: 131 W. Margaret Lane (P.O. Box <br />8181) City: Hillsborough State: NC Zip: 27278 Department: Planning Amount: $220,000 (Orange County) <br />Purpose: REVISED INTERLOCAL AGREEMENT BETWEEN AND AMON G ORANGE COUNTY AND THE <br />TOWNS OF CARRBORO AND CHAPEL HILL REGARDING THE REIMBURSEMENT OF COSTS FOR <br />INSTALLATION OF PRIVATE SEWER SERVICE LATERAL CONNECTIONS FOR LOW -TO-MODERATE <br />INCOME HOMEOWNERS OF HERITAGE LOTS WITH EXISTING DWELLINGS IN THE ROGERS ROAD <br />SEWER PROJECT AREA. Budget Code(s): 61370035-880020-10054 (LMI Plumbing Connections) Vendor # N/A <br />(N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal <br /> Amendment Effective Date TBD based on DocuSign Signature Completions Approved by Board Yes <br />No Agenda Date: January 21, 2020 <br /> <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 /> <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 /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: 384CD59B-6E10-4B9C-BA6B-376259C3B5A6 <br />5/28/2020 <br />5/28/2020 <br />5/29/2020 <br />5/29/2020