HomeMy WebLinkAboutR 2019-427 DSS - Dispute Settlement Center case dispute resolution DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract#68-1018
The Dispute Settlement Center, Inc.
ORANGE COUNTY--DEPARTMENT USE ONLY
PartyNendor Name: The Dispute Settlement Center.Inc. Party/Vendor Contact Person: Frances Henderson Contact Phone:919-929-
8800 Party/Vendor Address:302 West Weaver Street City Carrboro State:NC Zip:27510 Department:Social Services Amount:$5,000
Purpose:dispute resolution Budget Code(s): 10403020-630000 Vendor#6127 (N/A if new vendor) Vendor is a BOCC consultant?
Yes❑No❑ Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date July 1,2019 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:
Dom Signed by,
N (him Date:
Department Director's Signature Date:
DAE1E198A83B455
Agreements for emergency services or repair are not subject 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 hardwarelsoftware 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 sufficient oocusigned 6y:----'-rds,specifications,and requirements:
aUSA cbm.t 6 7/9/2019
Office of the Risk Management Office 7FDCF0176800408. Date.
Financial Services
This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act:
7/10/2019
Office of the Chief Financial Officer 7D4a1acC,4o9. Date:
Legal Services
This agreement is approved as t DocuSigned by: ncy:
Office of the County Attorney Date.7/11/2019
4035C68304CA4A9
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:
Contract-General (06/19) Page 4 of 4