HomeMy WebLinkAboutR 2019-002 Emergency Svc - EMPG agreement DocuSign Envelope ID:A379AF47-80ED-488F-91DA-3E719C94C770
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: NC DPS —EmergencManagement Party/Vendor Contact Person: David Leonard Contact
Phone: 336-266-2642 Party/Vendor Address: 4236 Mail Service Center City Raleigh State: NC Zip: 27699
Department: Emergency Services Amount: N/A Purpose: Emergency Management Performance Grant Program
(EMPG) Annual Agreement Budget Code(s): Vendor#N/A (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date
Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
UocuSigned by:
Department Director's Signatur �f�� Date: 1/2/2019
Agreements for emergency service-. ..655BCMA64473.
,F, --. 1. ,act to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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:
Office of the Risk Management Officer Date:
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 p 4 " Date: 1/2/2019
704E51S1ACCAN-
Legal Services
This agreement is approved as to 1a 1 fn and c„fflr;ancy:
OocuSigned by:
Office of the County Attorne �+ ,aw _ Date:1/2/2019
4035CB8304CA4M
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18