HomeMy WebLinkAboutR 2015-657-E Aging - UNC-Chapel Hill Office of Sponsored Research DocuSign Envelope ID: F20A5AA5-7D63-452E-B44F-3C99D2C3604E
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: UNC-Chapel Hill Office of Sponsored Research Party/Vendor Contact Person: Cherie
Rosemond Contact Phone: Party/Vendor Address: 104 Airport Dr, Ste 2200 City Chapel Hill State: NC
Zip: 27599 Department: Aging Amount: $60,000 Purpose: MAP Housing consultant 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 07/01/2015 Approved by Board Yes❑
No❑ Agenda Date:
This agreement is approved as to technical form and content:
hh ocu igne by:
J Date: 12/19/2015
Department Director's Signature A.ItdGt-
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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:
p DocuSigned""by:
''11i1
Office of the Risk Management Officer Q�Sa �,Orvu X16 Date 12/26/2015
' 7FDCF9176800498...
Financial Services
This 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: 12/28/2015
'- 7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date:
12/28/2015
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts: