HomeMy WebLinkAboutR 2020-244 Housing - Empowerment MHP development agreement amendment DocuSign Envelope ID:6DC1ED22-B276-4193-B1F9-548B6AFFC7C5
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: EmPOWERment,Inc. Party/Vendor Contact Person: Delores Bailey Contact Phone: (919)-967-8779
Party/Vendor Address: 109 Graham St. City Chapel Hill State:NC Zip: 27516 Department: Housing&Community
Development Amount: $66,900.75 Purpose: Mobile Home Relocation Coordination Services Budget Code(s): 61370035-
802200-10056 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date March 11, 2020 Approved by Board Yes® No❑
Agenda Date:March 20,2018
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:
►t SV&W 3/18/2020
Department Director's Signature Da2ea75CF42E4D7... 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 sufficiency17FDCF9176800498
�ocusignea by: Is,specifications,and requirements:
Usa �,DVIn.�,{f 6 3/26/2020
Office of the Risk Management Officer .. Date:
Financial Services
This instrument has been pre-audited it*1'ooeusigned by: 1` the Local Government Budget and Fiscal Control Act:
3/29/2020
Office of the Chief Financial Office Date:
704E5981ACC1469...
Legal Services
This agreement is approved as to 1P 1 f-- and C„Moip"O".
OocuSigned by:
�WAk ftp,{r{I, �S(h 3/30/2020
_Office of the County Attorney Date:
079A4D525C0F4Fg...
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 h, - ooc6signed by: s not required for Docusign contracts:
4/7/2020
Office of the Clerk to the Board_ DSC2A.Ec 91ss4sc... Date:
Revised 12/18