HomeMy WebLinkAboutR 2019-666 Emergency Svc - Orange County Schools CBT agreement DocuSign Envelope ID:7153675D-647B-4D5F-AA47-OABA1B509205
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Orange County Schools Party/Vendor Contact Person: Mary Ann Baldwin Contact Phone:
919-245-4006 ext. 18005 Party/Vendor Address: 1914 New Hope Church Rd City Chapel Hill State:NC Zip:27514
Department: Orange County Emergency Services Amount: $0.00 Purpose: Community Based Vocational Training
Budget Code(s):NA Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract
Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date September 30,2019 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:
15655BC89IA64473
t� � I'S 9/27/2019
Department Director's Signature . 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:
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 insuran DocuSigned by: r ations,and requirements:
Office of the Risk Management Officer [,USX Lp�b 7FDCFs17Ga004 8. Date: 9/27/2019
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 Date:
Legal Services
This agreement is approved as to legal form and Docusigned by:
Office of the County Attorney 4 35CB8 O'CA4 Date: 9/2 7/2019
4�35C68304CA4A�
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