HomeMy WebLinkAboutR 2019-611 County Mgr - Dispute Settlement Center school collaboration work group facilitation DocuSign Envelope ID:528CCFFB-7CA4-441C-AC6B-OA89AEFD9B15
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 W. Weaver St., #A City Carrboro State: NC Zip: 27510
Department: County Manager's Office Amount: $5,400 Purpose: School Collaboration Facilitation Services
Budget Code(s): 10395020-720052 Vendor#6127 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/6/19 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:
l�'�S �� 9/6/2019
Department Director's Signature aA3Ea16128364@4 . Date:
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:
Risk Management
This agreement is approved for sufficiency of is17FDCF0176800408
Docusigned by: )ecifications,and requirements:
&A �,4Wt&6 9/7/2019
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: �ocusigned by:
('� '� . 9/7/2019
Office of the Chief Financial Officer 7o4E51s1ACC1409. Date:
Legal Services
This agreement is approved as to legal to DocuSigned by:
C!AA3D33ED8AW5--
� K6�� 9/9/2019
Office of the County Attorney 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
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