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2023-253-E-Housing Dept-Town of Chapel Hill-Reimbursement from the Town of Chapel Hill
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2023-253-E-Housing Dept-Town of Chapel Hill-Reimbursement from the Town of Chapel Hill
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Last modified
6/20/2023 11:40:11 AM
Creation date
6/20/2023 11:40:05 AM
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Template:
Contract
Date
6/14/2023
Contract Starting Date
6/14/2023
Contract Ending Date
6/13/2023
Contract Document Type
Contract
Amount
$2,699.32
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Revised 06/21 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: Jackie Thompson Contact Phone: <br />Party/Vendor Address: 405 Martin Luther King Jr Blvd. State: NC Zip: 27514 Department: Housing Department <br />Amount: $2,699.32 Purpose: Reimbursement from the Town of Chapel Hill Budget Code(s): 10480020 630315 <br />Vendor # (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) <br />New Renewal Amendment Effective Date 6/12/23 Approved by Board Yes No Agenda Date: <br /> --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br />this project has not been initiated prior to execution of the agreement: <br /> <br />Department Director’s Signature ________________________________________ 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 /> <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 />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 />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <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 />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 /> <br />DocuSign Envelope ID: 181E8A58-F8EA-4ABC-88D9-1799FCFD7E5E <br />6/13/2023 <br />6/13/2023 <br />6/14/2023
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