HomeMy WebLinkAboutR 2019-262 County Mgr - Shana Overdorf OCPEH grantwriter DocuSign Envelope ID:A63A046B-84E8-41B3-90FC-8ABCBB921201
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Shana Overdorf Party/Vendor Contact Person: Shang, Overdorf<soverdorf98(&gmail.com>
Contact Phone: 919-632-0598 Party/Vendor Address: 939 St Mary's St City Raleigh State: NC Zip: 27605
Department: County Manager Amount: $15,000.00 Purpose: Grantwriting Budget Code(s): 32470620-680021
Vendor# (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:
DocuSigned by:
.�^
Department Director's Signature l MS A& � 1A, Date: 5/3/2019
Agreements for emergency services or repair are no OA3E81B12B364B4 . 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:
DocuSigned by:
Office of the Risk Management Officer �U$66 (,6�6 Date: 5/3/2019
7FDCF9176900498.
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 ('1) � � Date: 5/3/2019
704E51S1ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney ]EAAM3aEMAW5-
61LW P lfs Date: 5/6/2019.
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
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