Orange County NC Website
ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Fairview Community Watch Party/Vendor Contact Person: Dorothy Johnson Contact Phone: <br /> 919-732-5429 Party/Vendor Address: 55 Homemont Ave. City Hillsborough State:NC Zip: 27278 Department: <br /> Finance and Administrative Services Amount: $4,000 Purpose: Monitors/Support of Park Activities Budget Code(s): <br /> 10695050-720265 Vendor # 61785 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ Nox Contract <br /> Type: (Check one)New x Renewal ❑ Amendment ❑ Effective Date July 1, 2015 Approved by Board YesXNo <br /> ❑ Agenda Date: June 16,2015 <br /> This agreement is approved as to techni orm and content: <br /> Department Director's Signature &qJ64�� �P442Ct Qo�b Date: 1-7 161 <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 k Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance tandards, specifications,and requirements: <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in t �,`anner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer w'T le C000 ate: "10 <br /> Legal Services <br /> This agreement is approved as to le al m an fficiency: <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 @ Dolloyd@oran eg countync.gov <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 /> (Fairview Community Watch) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 7115 <br />