HomeMy WebLinkAboutR 2019-475 Planning - Interlocal agreement for Historic Rogers Road Sewer Connection cost sharing ,;2 Ll 7 S
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name : Party/Vendor Contact Person : Contact Phone : Party/Vendor Address :
City State . Zip : Department . Amount : $ 138 , 510 . 00 (Chapel Hill and Carrboro)
Purpose : Interlocal Aareement with Town of Carrboro and CH for reimbursement for installati ivate sewer
service lateral connections for low to moderate income Budget Code(s) : 61610007449925W 6 0007 -449926 { O
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 :
n
Department Director ' s Signature Date :
Agreements for emergency services or repair a not subject to the above affirmation . If servic relate to this
agreement have already begun or been comp eted 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 r requ ' ed by the Loc 1 Government Budget and Fiscal Control Act :
Office of the Chief Financial Officer CJ" Date : 7 3 O t
C
Legal Services
This agreement is approved as to legal form and sufficienc
Office of the County Attorney JDate : �j /f
Clerk to the Board
Received for record retention :
All Docusign contracts must be copied to Sherri Ingersoll up n completion : smgersoll@orangecountync . gov
The following signature block is for hard copies only and is of required for Docusign contracts:
Office of the Clerk to the Board Date : `
r
Revised 12/ 18