Orange County NC Website
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-� <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange Literacy Party/Vendor Contact Person: Alice Denson Contact Phone: 919-914-6153 <br /> Party/Vendor Address: 200 North Greensboro Street City Carrboro State: NC Zip: 27510 Department: Health <br /> Amount: $7,815.00 Purpose: Provide literacy and English classes to parents Budget Code(s): 10412020-681000- <br /> 71453 Vendor#50749 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No X Contract Type: (Check <br /> one)New X Renewal ❑ Amendment ❑ Effective Date 6/1/15 Approved by Board Yes❑ No❑ Agenda <br /> Date: <br /> This agreement is approved as to technical form and content: II <br /> Department Director's Signature / Date: I� <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer �i.�� d Date: <br /> Financial Services <br /> This instrument has been pre-audited in 707t,".nner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer ��i/h Date: <br /> C <br /> Legal Services <br /> This agreement is approved as to lega o and f ncy: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran eg countync..og_v <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Orange County Outside Agency Performance Agreement Page 7 of 7 <br />