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DocuSign Envelope ID : 78D30221 -F6DF-41DC-BCAA-DC5603805007 <br /> ORANGE COUNTY-INTERNAL USE ONLY <br /> Finance Information <br /> Vendor Name: Carrboro Vendor Contact Person : Anne-Marie Vanaman Phone: 919-918-7321 Address : 301 <br /> West Main St. City Carrboro State: NC Zip : 27510 Department: Housing and Community Services Amount : <br /> 69 581 Purpose : OCPEH cost sharing Budget Code(s) : 32470605 449926 Vendor # <br /> Vendor Status with NCSOS : Vendor is a BOCC consultant : ❑ Yes ❑ No <br /> Contract Details <br /> Contract Type : ® New ❑ Amendment (Original Contract: ) (Most Recent Amendment ) <br /> Effective Date 07/01 /2023 End Date 6/30/2024 Notice Date (Notice Purpose ) <br /> Award <br /> ❑ Approved by Board (Agenda Date: Made or Administered by <br /> Signature Authority <br /> ❑ BOCC Express Delegation (Agenda Date : <br /> Policy 9 . 4 : ❑ Under $5 , 000 ; ❑ Service Under $90, 000 ; ❑ Construction Under $250,000 <br /> ❑ Budget Policy Section XV (Capital Improvement Project: ) <br /> Bidding <br /> ❑ Informal Bidding ($30k490k) ; ❑ Formal RFP ($90k+) ; ❑ Other (<$30k); ❑ Exception(#,....) <br /> Department Affirmation <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 /> ® This agreement is approved as to technical form and content. Services related to this agreement have already <br /> begun or been completed. Description of the nature of the emergency condition that was addressed : This routing <br /> sheet is in support of the Vendor' s preferred method due to use of American Rescue Plan Act funds and Federal <br /> Funds Standard Service Contract. <br /> oocuslgned by:Department Director ' s Signature � � r6ssv Date : 3 / 20/ 2024 <br /> cassEg� Fasaaaag3... <br /> Information Technologies <br /> This agreement has been reviewed and is approved as to information technology content and specifications : <br /> Office of the Chief Information Officer Date : <br /> ❑ Inapplicable because no hardwcre/softrvare purchases or related services <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications, and requirements : <br /> DocuSigned by: <br /> 3 / 25 / 2024 <br /> Office of the Risk Management Officer �SSa fit ^ Date : <br /> SE4g BWMF64E1 ... <br /> Financial Services <br /> This instrument has been pre-audited in the rare fled required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 4�yy � v Date : 4/ 5 / 2024 <br /> wa€;1,avacaaos... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> 4 / 8 / 2024 <br /> Office of the County Attorney A= P«u- Date : <br /> ... <br /> Clerk to the Board <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 /> Revised 01 / 24 <br /> 1 <br />