HomeMy WebLinkAboutR 2019-913 BOCC - Dispute Settlement Center BOCC retreat facilitation DocuSign Envelope ID:5587EA2F-757E-4B9C-8358-F67692A600D3
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Dispute Settlement Center Party/Vendor Contact Person: Frances Henderson Contact Phone:
919-929-8800 Party/Vendor Address: 302 W. Weaver Street City Carrboro State: NC Zip: 27510 Department:
BOCC Amount: $6,000 Purpose: BOCC Retreat facilitation Budget Code(s): 10200020-630000 Vendor# 6127
(N/A if new vendor) Vendor is a BOCC consultant? Yes ® No❑ Contract Type: (Check one) New
Renewal ❑ Amendment ❑ Effective Date 1/24/2020 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:
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61h.1rt.A. �ja.�F..Y' 12/18/2019
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 -bocuSigned by, is,specifications,and requirements:
9US66 (,bwt.�t,{�6 12/19/2019
Office of the Risk Management Officer 7F❑CF9176900498. Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
12/19/2019
Office of the Chief Financial Officer_ ,❑aEsaa1ACC1409. Date:
Legal Services
This agreement is approved as to UoeuSigned by: ciency:
�6� �k� 12/19/2019
Office of the County Attorney EAA3D33EDSAW5.. 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:
Revised 11/19
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