HomeMy WebLinkAboutR 2015-422-E Aging - UNC-Chapel Hill for MAP Housing Study DocuSign Envelope ID: 316CF52D-36A5-4EEC-A194-3625F55E259C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: UNC-Chapel Hill Party/Vendor Contact Person: Cherie Rosemond Contact Phone:
Party/Vendor Address: 104 Airport Dr., Suite 2200, CB 1350 City Chapel Hill State: NC Zip: 27599-1350
Department: Aging Amount: $49,800 Purpose: MAP Housing Study Budget Code(s): 10430020-630120 Vendor
# 10419 (N/A 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
1 �u- fi Date: 5/9/2015
B7E962D1BF454FA...
Information Technologies
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(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Office aus. r,6V17t t& Date: 5/11/2015
7FDCF9176800498...
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSi+gn__ed by:
Office of the Chief Financial Officer l bVU Date: 5/12/2015 {
232DFFC2CFA847B... I
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorney EA,� Da te: 8/11/2015
4035CB8304CA4A9...
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Clerk to the Board
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Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oranaecoupiync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
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