HomeMy WebLinkAboutR 2019-540 Finance - Dispute Settlement Center Intergovernmental Collaboration agreement DocuSign Envelope ID:A69442DO-BODB-4408-99AF-E63626C62761
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Dispute Settlement Center Party/Vendor Contact Person: Frances Henderson Contact Phone:
919-929-8800 ext. 11 Party/Vendor Address: 302 West Weaver Street #A City Carrboro State: NC Zip: 27510
Department: Finance and Administrative Services Amount: $6,500 Purpose: Collaboration Facilitation Services
Budget Code(s): 10395020-720152 Vendor#6127 (N/A if new vendor) Vendor is a BOCC consultant? Yes
No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2019 Approved by
Board Yes®No❑ Agenda Date: 6/18/2019
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:
61ti.lrt.a 54ty 8/7/2019
Department Director's Signature Date:
1V7E61B3FC08734DE.
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
Risk Management
This agreement is approved for sufficiency of insw17FDCF0176800408
Docusigned by: fications,and requirements:
&A c6m&6 8/7/2019
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:
17NE5181ACC1409
q '� . 8/7/2019
Office of the Chief Financial Officer . Date:
Legal Services
This agreement is approved as to legal form an DocuSigned by:
�6Ll.W K6�C`,fs 8/7/2019
Office of the County Attorney EA43D33ED8AW5.. 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 copie11)7E61B3FC08734DE..
oocuSigned by: red for Docusign contracts:
6ln.. A 1J4L' 8/7/2019
Office of the Clerk to the Board Date:
Revised 12/18
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