Orange County NC Website
DocuSign Envelope ID:78ED2FD7-AE51-42E6-9C24-DC103577AEBB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: City of Rocky Mount Party/Vendor Contact Person: Peter F. Varney Contact Phone: <br /> 252-972 1325 Party/Vendor Address:Frederick E.Turnage Municipal Building <br /> 331 S.Franklin St. City Rocky Mount State: NC Zip: 27804 Department: Solid Waste Amount: N/A <br /> Purpose: MOU for use of two vehicles Budget Code(s): N/A Vendor# (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 4-8-22 Approved by Board Yes❑ No® Agenda Date: --- For Section XIV. c. contracts only, <br /> Approved by Board in Current FY Budget Yes❑Nor-1 <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 p R91K1@ /tf tI6n of the agreement: <br /> }fib(/ wll�,�auMS 4/7/2022 <br /> Department Director's Signature €96F843690496... Date: <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: <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 sufficien p4am+t 9ft standards,specifications,and requirements: <br /> aura. rbvvu,TTb 4/8/2022 <br /> Office of the Risk Management Office 7Fnr.FQ17rAnn4QR Date: <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 Date:4/12/2022 <br /> Legal Services <br /> This agreement is approved as to 1 T'wfflgatOwufficiency: <br /> ,�b�t,ln, I°bl�t,v¢s 4/13/2022 <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 /> Revised 06/21 <br />