Orange County NC Website
DocuSign Envelope ID: F040E50B-Bl5C-49AE-8Fl7-A6EE2E98408A <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Green Build, LLC Party/Vendor Contact Person: John Clark Contact Phone: 919-697-0738 <br /> Party/Vendor Address: 605 Kenion Rd City Hillsborough State: NC Zip: 27278 Department: AMS Amount: <br /> 8890.00 Purpose: Enclose Counter Planning Dept Budget Code(s): 10240320-570001 Vendor# 67176 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ® No❑ Contract Type: (Check one)New ® Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: ---For Section XIV. <br /> c.contracts only,Approved by 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 <br /> on this project has not been initiate ,�j q&Q tion of the agreement: <br /> Department Director's Signatur S{�- AMA Date: 2/9/2022 <br /> Agreements for emergency services or f8f E$6WW'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 /> (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 /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of�� 9 ed""e�y'tall�ndards,specifications,and requirements: <br /> Office of the Risk Management Officer &A, (hvvu,TTb Date: 2/10/2022 <br /> DS 7FDCF9176800498... <br /> 0 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 Office rqta Date: 2/23/2022 <br /> Legal Services <br /> This agreement is approved as to €omeazO sufficiency: <br /> Office of the County Attorney �St fL hmt& Date: 2/23/2022 <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 06/21 <br /> 9 <br />