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- <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Chapel Hill Carrboro City Schools Party/Vendor Contact Person: Dr. Maeda Parvey Contact <br /> Phone: 919-967-8211x28282 Party/Vendor Address: 750 S. Merritt Mill Rd. City Chapel Hill State:NC Zip: 27516 <br /> Department: Health Amount: $50,200.00 Purpose: Enroll students in Kindergarten Jump Start Program Budget <br /> Code(s): 10412020-681000-71453 Vendor# 22226 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No X Contract Type: (Check one)New X Renewal ❑ Amendment ❑ Effective Date 6/1/15 Approved by Board <br /> Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical fo and content: <br /> Department Director's Signature / Date: C,261 /—S <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___ Date: <br /> Financial Services <br /> This instrument has been pre-audited iPoi r required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 6 3 0 / <br /> Legal Services <br /> This agreement is approved as to legs 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 @ DolloyOL(I oran eg counlync.gos <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 6 of 6 <br />