2021-588-E-Social Svc-Inter-Faith Council-Outside agency funding emergency assistance program

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DocuSign Envelope ID:081 EF70B-AC4D-47A1-8412-D6A5365AE30C ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Inter-Faith Council Party/Vendor Contact Person: Jackie Jenks Contact Phone: 919-929-6380 Party/Vendor Address: 110 West Main Street City Chapel Hill State: NC Zip: 27510 Department: Social Services Amount: $335,000 Purpose: outside agency funding + emergency assistance program Budget Code(s): 10403020-630000 Vendor # 1149 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date 10/7/21 Approved by Board Yes®No❑ Agenda Date: 6/15/21 ---For Section XIV.c. contracts only,Approved by Board in Current FY Budget Yes❑No❑ This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: DocuSigned by: Em" (,hsf6 it, 10/14/2021 Department Director's Signature DAE1E196A83B455 Date: Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of i 717FDCF9176800498... 9m8i7MXff6ardds, specifications,and requirements:10/7/2021 Office of the Risk Management Officer Date: Financial Services This instrument has been pre-audited in the man_nerTdqE6Pddebyythe Local Government Budget and Fiscal Control Act: arlry s�o,��n 10/18/2021 Office of the Chief Financial Officer Date: Legal Services This agreement is approved as to legal fo tA� iency: QWVJ_ �I mA f, �S(h 10/18/2021 Office of the County Attorney Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 06/21