HomeMy WebLinkAboutR 2019-517 Housing - Empowerment development agreement Cole Street revision DocuSign Envelope ID: F396A7D5-62F3-4B5B-A968-F49AA5397EFF
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: EmPOWERment,Inc. Party/Vendor Contact Person: Delores Bailey Contact Phone: 919
967-8779 Party/Vendor Address: 109 N. Graham Street, Suite 200 City Chapel Hill State: NC Zip: 27516
Department:H&CD Amount: $145,000 Purpose:Acquisition Activities Budget Code(s): 32473020-789005-47318
Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date July 22„ 2019 Approved by Board Yes® No❑
Agenda Date: June 19,2018
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_ - Date:7/14/2019
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: N/A
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, _Qocusigned by: ds,specifications,and requirements:
Qusa. �,DVlnk& 7/31/2019
Office of the Risk Management Officer 7MCF917Esoo4ss. Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Aw 8/1/2019
Office of the Chief Financial Officer Date:
- 704E51S1ACC1409.
Legal Services
This agreement is approved as to DocuSigned by:
8/1/2019
Office of the County Attorney_1 079A4D525C0F4FB. Date:
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