HomeMy WebLinkAboutR 2019-616 County Mgr - NC Coalition to End Homelessness HMIS database DocuSign Envelope ID: BDDDD430-E4C8-4429-B240-4E14BF7C5CC7
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: NC Coalition to End Homelessness (NCCEH) Party/Vendor Contact Person: Denise
Neunaber [mailto:deniseAncceh.or Contact Phone: 919-755-4393 Party/Vendor Address: PO Box 27692
City Raleigh State: NC Zip: 27611 Department: County Manager - Homeless Programs Amount: FY18-19:
$18,451 and FY19-20: $22,000.00 = Total $40,451 Purpose: HMIS database mana eg ment Budget Code(s):
32470620 630000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract
Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 7/1/19 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:
Department Director's Signature l v W Atmj�1, Date: 6/20/2019
Agreements for emergency services or repair a no aAre 3E81a12e364a4 . 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:
DocuSigned
_by:
.�t
Office of the Risk Management Officer aUsa (,6Vln.t,{�6 Date 9/10/2019
7FDCF9176900498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer
s�gx.wra Date: 9/11/2019
7NE5181ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney , 66A, K6�C '6 Date:9/11/2019
EAAM33ED8AM65..
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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