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Docusign Envelope ID : B3F507F1 -6D4D -4914-9778-D6D70909FED1 <br /> ORANGE COUNTY—INTERNAL USE ONLY <br /> Finance Information <br /> Vendor Name : Town of Chanel Hill , Vendor Contact Person : Chief Jay Mebane Phone : 919 -968 -2781 Address : <br /> 403 Martin Luther King Jr. Blvd . City Chapel Hill State : NC Zip : 27514 Department : Emergency Services <br /> Amount: ILA Purpose : Joint Emergency Services Facility Design Agreement Budget Code(s) : 61370035 -870000- <br /> 10053 Vendor # 64 <br /> Vendor Status with NCSOS : N/A Vendor is a BOCC consultant: ❑Yes ® No <br /> Contract Details <br /> Contract Type : ® New ❑ Amendment (Original Contract: ) (Most Recent Amendment ) <br /> Effective Date 1 /30/2025 End Date Notice Date (Notice Purpose ) <br /> Award <br /> ® Approved by Board (Agenda Date : 01 /21 /2025 ) ; ❑ Made or Administered by <br /> Signature Authority <br /> ® BOCC Express Delegation (Agenda Date : 1 /30/2025 <br /> - Policy 9 .4 : ❑ Under $5 ,000 ; ❑ Service Under $ 90,000 ; ❑ Construction Under $250 , 000 <br /> ❑ Budget Policy Section XV (Capital Improvement Project : <br /> Bidding <br /> ❑ Informal Bidding ($ 30k-$90k) ; ❑ Formal RFP ($ 90k+) ; ❑ Other (<$30k) ; ® Exception(#Interlocal <br /> Agreement) <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�bbAg1WWm6pf the emergency condition that was addressed: <br /> Department Director ' s Signature v Date : 3 / 21/ 2025 1 3 : 52 PM EDT <br /> 01 HMCF893428... <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 hardware/sofhvare purchases or related services <br /> Risk Management <br /> This agreement is approved for sufficiency r <br /> �Sa L <br /> g e standards , specifications , and requirements : <br /> Mt � tS �lw <br /> Office of the Risk Management Officer Date : 3 / 24 / 2025 2 : 26 PM EDT <br /> Financial Services <br /> This instrument has been pre-audited in ejgguired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer y 4OV'Ka%roo ' Date : 3 / 24 /2025 1 3 : 05 PM EDT <br /> 704E5181ACC7409... <br /> Legal Services <br /> This agreement is approved as to cfs9w*dxwd sufficiency : <br /> Office of the County Attorney ' "� 66rhIA4 Date : 3 / 24 / 2025 3 : 55 PM EDT <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 /> Received for record retention : <br /> Revised 01 / 24 <br /> 1 <br />