HomeMy WebLinkAboutR 2019-911 Economic Dev - Town of Mebane Article 46 funds ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name : Town of Mebane Party/Vendor Contact Person : Chris Rollins Contact Phone :
Party/Vendor Address : 106 E Washington Street City Mebane State : NC Zip : 27302 Department : Economic
Development Amount : $ 1 ,452 . 75 Purpose : Article 46 Collaborative Outreach Budget Code ( s ) : 34600020 -900046
Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® Contract Type : (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date 12/ 16/ 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 :
Department Director ' s Signature Gt Date : — /
Agreements for emergency services or repair are not subject to t%deribe
bove affirmation . If services related to this
agreement have already begun or been completed please briefly he 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 :
Office of the Risk Management Officer WaDate : �� f
Finaii ial S i
T 10
This instrument has been pre - audited in the manner e ire y e Local Government Budget and Fiscal Control Act :
Office of the Chief Financial Officer Date : ��
7
L al Services
This agreement is approved as to legal form asufficiency ,
Office of the County Attorney Date : ZZ Zd
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 : 4� 51� ze ;?�C)
Revised 12/ 18