HomeMy WebLinkAboutR 2019-504 DEAPR - US Forest Service land protection agreement 5�
491) 19
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name : NC Forest Service Party/Vendor Contact Person : Jennifer Johnson Roach Contact Phone .
919 - 8574801 Party/Vendor Address : 1616 Mail Service Center City Raleigh State : NC Zip : 27699 - 1616
Department : DEAPR Amount : $ 147 , 134 ( County $ 58 , 854) Purpose : Forest Service Annual Contract Budget
Code ( s ) : 1 0695050 - 7200 1 1 Vendor # 25374 (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 : Via Y ov h
SGJ y � � Ily
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technical form and content and I as Department Director affirmatively This agreement is approved as to p y state work
on this project has not been initiated prior to execution of the agreement :
Department Director ' s Signature Date : 713 O )lel
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 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 manner required by the Local Government Budget and Fiscal Control
Act .
Office of the Chief Financial Officer ?.0e r- ate :
Legal Services
This agreement is approved as to legal form and sufficiency .
Office of the County Attorney Date . / (j
Clerk to the Board
Received for record retention :
All Docusign contracts must be copied to Sherri Ingersoll upo f eompletion : singersoll@orangecotintync . gov
The following signature block is for hard copies only an s 6t required for Docusign contracts :
�Office of the Clerk to the Board f�7 Date :
1
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Revised 12/ 18