HomeMy WebLinkAboutR 2017-164-E ES - Crisis Focus, LLC for AAR water shortage incident DocuSign Envelope ID:F37C9396-0BA8-4BCE-A313-6FEB3715CF18
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Crisis Focus,LLC Party/Vendor Contact Person: Donald Campbell Contact Phone: 336-420-
3115 Party/Vendor Address: 3125 Katheleen Ave #160 City Greensboro State: NC Zip: 27408 Department:
Emergency Services Amount: $19,500 Purpose: AAR Water Shortage Incident Budget Code(s): 30750020-
629000-71049 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 5/10/2017 Approved by Board Yes'
No Agenda Date:
This agreement is approved as to tec .gagcyntja gpd content:
Department Director's Signature �1 ' LS Date: 5/8/2017
5655BC891A64473...
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 o Dion ar cbeyatandards,specifications, and requirements:
tats VLLtb 5/11/2017
Office of the Risk Management Office/ Date:
`�—7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: , ---Docusigned by:
Art 5/11/2017
Office of the Chief Financial Officer Date:
7D4E5181 ACC1409...
Legal Services
This agreement is approved as tq,legbticEand sufficiency:
5/11/2017
Office of the County Attorney 4i-1-444,- Date:
`—4035C B 8304CA4A9...
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:
Office of the Clerk to the Board Date:
Revised 2/17
9