Orange County NC Website
Browse       Search
DocuSign Envelope ID:53D55D40-1809-4F65-BAC5-CBC288F3AD4B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Catharine Rice Party/Vendor Contact Person: Catharine Rice Contact Phone: 919-740-0257 <br /> Party/Vendor Address: 424 East Alexandria Ave City Alexandria State: VA Zip: 22301 Department: IT' <br /> Amount: $5,000.00 Purpose: Broadband consulting Budget Code(s): 61370035-897085-30007 Vendor # N/A <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date 18 May 2021 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> F�i.,D t4P ,byocuSignedby:,,:y <br /> Department Director's Signature Date:5/18/2021 <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: N/A <br /> Information Technoloiies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content an ' @Ai®&fi: <br /> ,�iwt Nb Office of the Chief Information Officer Date:5/18/2021 <br /> Risk Management <br /> This agreement is approved for sufficiency of insura &byspecifications,and requirements: <br /> Q�ISA, (hnaffb <br /> Office of the Risk Management Officer Date: 5/19/2021 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer <br /> �AN Date: 5/19/2021 <br /> 409 <br /> Legal Services <br /> This agreement is approved as to legal form and 4ei&eTd by- <br /> Office <br /> f jV'�A.In, <br /> Office of the County Attorney AaMS Date: 5/19/2021 <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 /> 9 <br />