R 2015-283-E DSS - United Way of the Greater Triangle for fostering youth opportunities

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DocuSign Envelope ID:48959198-4FAC-490E-95C3-5A542B2E055D ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: United Way of the Greater Triangle Party/Vendor Contact Person: Angie Welsh Contact Phone: Party/Vendor Address: 2400 Perimeter Park Drive, Suite 150 City Morrisville State:NC Zip: 27560 Department: DSS Amount: $60,000 Purpose: Fostering Youth Opportunities Budget Code(s): 104000205- Vendor 4 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 06/01/15 Approved by Board Yes[]No❑ Agenda Date: This agreement is approved as to technical formrZ hied by: .0 I� �,OS 6vu 6/24/2015 Department Director's Signature Date: �ra€�f-�s�ae�ens... Information Technologies (Applicable only to hardwarelsofiware 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 ins ur ao�t 'r" ',specifications,and requirements: Q�ASA. c6vvt,e,ti0 6/24/2015 Office of the Risk Management Officer Date: F-6Eff@'fi 686649... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSignne�d�by: � �AIA�' �,"-"'D 6VU 6/24/2015 Office of the Chief Financial Officer ,32E)PP Ad Date: Le al Services This agreement is approved as to legal form and su cleflWigned by: Office of the County Attorney Date: 6/25/2015 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd2dorangecountvnc.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: