HomeMy WebLinkAboutR 2019-791 Housing - Community Home Trust grant agreement DocuSign Envelope ID: F9614B21-556E-42D5-A5C1-2B3EF7E3AB01
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Community Home Trust Party/Vendor Contact Person: Robert Dowling Contact Phone:
(919) 967-1545 Party/Vendor Address: 109 Conner Drive, #1000 City Chapel Hill State: NC Zip: 27514
Department: H&CD Amount: $80,000 Purpose: Support of Operating and Capital Reserves Budget Code(s):
32471020-782610($60,000)and 10395020-720023 ($20,000) Vendor#59513 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective
Date April 1,2019 Approved by Board Yes®No❑ Agenda Date: March 19,2019
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:
D"uSigned by:
Department Director's Signature_ ►t S ¢W Date: 10/21/2019
1fD42B07,,F42E4D7 -
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: N/A
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 - Docu5ignea by: As,specifications,and requirements:
QU56 (,4�6 10/24/2019
Office of the Risk Management Officer Date:
7FDCF917E800498-
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
1.44
Office of the Chief Financial Officer sCC �w Date:10/25/2019
- 704E5981ACC1409-
Legal Services
This agreement is approved as tc ' oocusigned by: iciency:
10/25/2019
Office of the County Attorney � �� Date:
7D82CEC5109F429-
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