HomeMy WebLinkAboutR 2016-127-E DSS - The Community Empowerment Fund for Emergency Solutions Grant DocuSign Envelope ID: FB3E3E71-F2B8-41 1A-81 C9-1392ACCOFE1 1
Contract 968-2025
The Community Empowerment Fund
ORANGE COUNTY-DEPARTMENT USE ONLY
Departmen
Party/Vendor Name: The Community Empowerment Fund Party/Vendor Contact Person. Maggie Wes Contact Phone:(919)200-0233
Party/Vendor Address: 108 W.Rosemary St. City Chapel Hill State:NQ Zip:27516 Department: Social Services Amount: $25,000
Purpose:Emergency Solutions Grant Budget Code(s):_ Vendor i-R/A (N/A if new vendor) Vendor is a BOCC consultant? Yes
7 NoM Contract Type:(Check one)New Z Renewal[] Amendment 7 Effective Date June 1,2015 Approved by Board YesO
No[] Agenda Date:
This agreement is approved as to technical form auJ�Wgbhed by:
N
Department Director's Signature, a; (,46v, Date: 1/27/2016
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Information Technolo2ies
(Applicable only to hardwarelsof4vare 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 Mana2ement
This agreement is approved for sufficiency of insuran ndat6sy 4pecifications,and requirements:
Office of the Risk Management Officer Date: 1/25/2016
Financial Services
This instrument has been pre-audited in the manner re uir�dcbrfflVtocai Government Budget and Fiscal Control Act:
rl� 1/27/2016
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and suffici DocuSigned by:
Office of the County Attorney 7 1��,__Datc: 1/28/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd 2worangecountync.,ggy
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board -Date:
Contract-General(06/15) Page 5 of 5