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Town of Chapel Hill <br />Orange County Community Climate Action Grant Program Performance <br />Agreement Rev. 2/21 Page 9 of 11 <br /> <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br /> <br />Department <br /> <br />Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: John Richardson, Community <br />Resilience Officer Contact Phone: 919-969-5075 Party/Vendor Address: 405 Martin Luther King Jr Blvd. <br />City Chapel Hill State: NC Zip: 27514 Department: Asset Management Services Amount: $40,000 Purpose: <br />Community Climate Action Grant - Tree Planting Program Budget Code(s): 61370035 803069 30052 Vendor <br />#64 (N/A if new vendor) Vendor is a BOCC consultant? Yes No X Contract Type: (Check one) New X <br />Renewal Amendment Effective Date: March 16, 2022 Approved by Board: Yes X No Agenda <br />Date: February 2, 2021 <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature Date: <br /> <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 /> <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 /> <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 /> <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 /> <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: 8858BEA8-FD65-4E72-A32A-868C9BDDE075 <br />3/29/2022 <br />3/29/2022 <br />3/30/2022 <br />3/31/2022