HomeMy WebLinkAboutR 2015-496-E Co. Mgr. - Community Empowerment Fund for Integrated Services Center rent DocuSign Envelope ID: D09F6D26-5288-40CE-99DB-DBA8FE0850B6
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Community Empowerment Fund Party/Vendor Contact Person: Maggie West Contact Phone:
(919) 270-5730 Party/Vendor Address: 108 W. Rosemary Street City Chapel Hill State: NC Zip: 27516
Department: County Manager's Office Amount: $12,000 Purpose: Integrated Services Center rent Budget Code(s):
32470620 680022 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date 51112015 Approved by Board Yes❑No
❑ Agenda Date:
This agreement is approved as to technigal Writ sand content:
ocu igne y:
Department Director's Signature E—�0637994B755E477_ov�,�►e, ( AMmt,V'S� Date: 9/11/2015
Information Technologies
(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:''111L
Office of the Risk Management Officer AUS0, 66vvt,e 6 Date: 9/11/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in th.%ni ed gaguired by the Local Government Budget and Fiscal Control Act:oc
Office of the Chief Financial Officer
Pm/,L (, 4ym Date: 9/11/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le l fspgrnmedyid sufficiency:
Office of the County Attorne 44 Date: 9/11/2015
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecoun.nc.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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