HomeMy WebLinkAboutR 2014-563 Housing - Community Empowerment Fund for the development of a Coordinated Assessment System $7,778DocuSign Envelope ID: C26DF6AF- BFFB- 437D- A831- 77lA06C3lC5A
ORANGE COUNTY- DEPARTMENT USE ONLY
Department
Party/Vendor Name: Patty/Vendor Contact Person: Contact Phone: Party /Vendor Address:
City State: Zip: Department: Amount: Purpose: .Budget Code(s):
Vendor # (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check
one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda
Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature Date: 11/18/2014
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Information Technologies
(Applicable only to hardware /software purchases of related services) Ibis agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief' Information Officer
Risk Management
Date:
Ihis agreement is approved for suff ciency of insurance standards, specifications, and requirements:
A1DocuSigned "" by,
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Office of the Risk Management Officer uLISA C,bvin t 1tb Date: 11/20/2014
7FDCF9176800498...
Financial Services
Ihis instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control Act:
— ^DocuSigned by:
Office of the Chief Financial Officer- Date: 11/20/2014
2F982EC44C2C444...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County AttorneyI� A Date: 11/20/2014
4035CB8304CA4A9...
Clerk to the Board
Received for tecoid retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo3W@orangecountync. ,yov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10114 4
Date: