HomeMy WebLinkAboutR 2017-627-E Co. Mgr. - NCCEH for LSA services for HMIS DocuSign Envelope ID: 364B59FA-42BE-4E61-913F-9E25D1 C7A94F
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: NCCEH Party/Vendor Contact Person: Denise Neunaber Contact Phone: 919-755-4393
Party/Vendor Address: PO Box 27692 City Raleigh State: NC Zip: 27611 Department: County Manager -
Homeless Programs Amount: $22000.00 Purpose:LSA services for HMIS Budget Code(s):32470620 630000
Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)
New ® Renewal❑ Amendment ❑ Effective Date 7/1/17 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature LPtts VY�, Date: 11/10/2017
0A3E81 812836484...
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:
Office of the Risk Management Officer RiSA 11/12/2017
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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 4 Date: 11/13/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney El)ttuA, l°etvfs Date: 11/17/2017
EAA3D33ED8A8465...
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
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