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HomeMy WebLinkAboutR 2020-263 Emergency Svc - Microtel COVID FEMA shelter DocuSign Envelope ID:01961751-14B1-4AFD-A8E3-C1BDFC2941A3 ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Maha Ganapathi, LLC d/b/a The Microtel Inn & Suites Hillsborough Party/Vendor Contact Person: Natalie Edwards Contact Phone: 919-245-3102 Party/Vendor Address: 120 Old Dogwood Street City Hillsborough State:NC Zip:27278 Department:Emergency Services Amount: $34,800 Purpose:FEMA Emergency Non-Congregate Care Sheltering Budget Code(s): 10750020 630000 95020 Vendor# 33329 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 04/10/20 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: UoeuSigned by: Department Director's Signature w,IA, Y&u Date: 4/15/2020 EV5655BC891A64473 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 10 rooms on April 10'due to urgency of anticipated need. 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 oocu igned by:- `ins,and requirements: asa �,bb 4/16/2020 Office of the Risk Management Officer Date: 7F6CF817E800495... Financial Services This instrument has been pre-audited in the manner req oocusigned by: iment Budget and Fiscal Control Act: 4/20/2020 Office of the Chief Financial Officer 7❑aESaa,Acc�aos... Date: Legal Services This agreement is approved as to legal form and OoeuSigned by: Office of the County Attorney ` '° - Date: 4/20/2020 E4035CB8304CA4M... 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: 10