Orange County NC Website
Browse       Search
Revised 07/20 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Town of Hillsborough Party/Vendor Contact Person: Eric Peterson Contact Phone: 919-296- <br />9421 Party/Vendor Address: 101 E. Orange Street City Hillsborough State: NC Zip: 27278 Department: Emergency <br />Services Amount: Purpose: Budget Code(s): Vendor # (N/A if new vendor) Vendor <br />is a BOCC consultant? Yes No Contract Type: (Check one) New X Renewal Amendment Effective <br />Date 11/17/2020 Approved by Board YesX No Agenda Date: 11-17-2020 <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 /> <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 /> <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 /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: AF68B1FF-FEEA-45AD-BFB5-3567D65B7C05 <br />11/20/2020 <br />12/1/2020 <br />12/1/2020 <br />12/2/2020 <br />DocuSign Envelope ID: 49CBA83E-FF17-48B4-BD85-A8EBC15FD9E3