HomeMy WebLinkAboutR 2017-223-E Housing - Brian Ashburn for contract services DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Brian Ashburn Party/Vendor Contact Person: Brian Ashburn Contact Phone: 919.426.8801
Party/Vendor Address: 100 Hillside Drive City Louisburg State: NC Zip: 27549 Department: HHRCD Amount:
Purpose: Contract Services Budget Code(s): 324730206300047316 Vendor # 64426 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date April 1,2017 Approved by Board Yes' No Agenda Date:
This agreement is approved as to to n'Mjggildarnd content:
Department Director's Signature Date: 4/26/2017
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 sufficienc .bmd; g_ .standards, specifications, and requirements:
MSA rbvvutl6 4/26/2017
Office of the Risk Management Office Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited i ecrtilAirittbFequired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Office Date: 6/19/2017
D4C5181ACC1409...
Legal Services
This agreement is approved as toclegst��#,9 a l d sufficiency:
Office of the County Attorney ah btu, ark, Date:6/19/2017
`-079A4D525C0F4FB...
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 5