HomeMy WebLinkAboutR 2020-262 Emergency Svc - Holiday Inn COVID shelter DocuSign Envelope ID:05C7B57D-18B9-406D-8953-484F8634CF37
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Rainbow Management Inc. Party/Vendor Contact Person: Aftab Khan Contact Phone: 919-644-
7997 Party/Vendor Address: 202 Cardinal Drive City Hillsborough State: NC Zip: 27278 Department: Emergency
Services Amount: 10228.62 Purpose:FEMA Emergency Response Medical Personnel for COVID-19 Pandemic Budget
Code(s): 10750020 630000 95020 Vendor#48525 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No
® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 04/6/20 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:
UocuSigned by:
�Department Director's Signature t� y��$ Date: 4/16/2020
5655BC89iA64473...
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: Reserved 4 rooms on April 6th due to urgency of anticipated need.Contract was ready,but GM
requested some changes,but we kept the reserved rooms while working on the changes.
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 insuranc- - b�cu-Si9ned by: .r itlons,and requirements:
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Office of1 the Risk Management Officer Date:4/16/2020
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner oocusigned by: - government Budget and Fiscal Control Act:
Office of the Chief Financial Officer I'IN411.4/� Date: 4/20/2020
704E5181ACC1409...
Legal Services
This agreement is approved as to legal form ands OocuSigned by:
Office of the County Attorney �35CB8 4CA4 Date: 4/20/2020
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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:
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