HomeMy WebLinkAboutR 2019-900 Finance - Dispute Settlement Center Intergovernmental Collaboration amendmentRevised 11/19
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 West Weaver Street #A City Carrboro State: NC Zip: 27510 Department: Finance and
Administrative Services Amount: 2019-540E Original Contract Max Amount $6,500 – Amendment to Max. $7,200 Purpose: 2019-
540E Intergovernmental Collaboration Facilitation Services Budget Code(s): 10395020-720152 Vendor # 6127 (N/A if new vendor)
Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date
12/1/2019 Approved by Board Yes No Agenda Date: 6/18/2019
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:
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: 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 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 ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
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:_________
DocuSign Envelope ID: D7170807-B94E-4228-8DB1-31F49D55977E