Orange County NC Website
Revised 06/21 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Party/Vendor Name: Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: City <br />State: Zip: Department: Amount: Purpose: Budget Code(s): Vendor # (N/A if <br />new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment <br />Effective Date Approved by Board Yes No Agenda Date: --- For Section XIV. c. contracts only, Approved by <br />Board in Current FY Budget Yes No <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has <br />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 agreement have <br />already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br />Information Technologies <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to <br />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 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 />Orange Rural Jeff Cabe 919-883-8575 206 S. Churton Hillsborough <br />NC 27278 OCES $6,000 co-location 10757520-630000 <br />X x <br />July 1, 2021 <br />DocuSign Envelope ID: AC003DC9-7DA7-4B54-AA8E-7C942CE7C2F0 <br />9/13/2021 <br />9/16/2021 <br />9/17/2021