Orange County NC Website
DocuSign Envelope ID:81AD62D8-8ADD-4D52-B44C-39049C335CD4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pretrial Services Party/Vendor Contact Person: Joyce Kuhn Contact Phone: 919-245-2970 <br /> Party/Vendor Address: 100 N. Churton St., Suite 207 City Hillsborough State:NC Zip: 27278 Department: County <br /> Manger's Office Amount: $23,750 Purpose: Pretrial Services Budget Code(s): 10210020-710035 Vendor 4 29193 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal <br /> ® Amendment ❑ Effective Date July 1,2015 Approved by Board Yes®No❑ Agenda Date: June 16,2015 <br /> This agreement is approved as to technical form and content: <br /> ri o cuDSigned by: <br /> Department Director's Signature �cu , �auhw�UrS Date: <br /> 0637994B755E477... <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 /> ---DocuSigned by: <br /> Office of the Risk Management Officer a�lSa (,6V17t 6 Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ---DocuSign ed by: <br /> Office of the Chief Financial Officer INAL (� 6VU Date: <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Docu igned by: <br /> Office of the County Attorney ✓ wi— Date: <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecoun.nc.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 /> Pretrial Services <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />