Orange County NC Website
DocuSign Envelope ID: F065BBBE-OEAD-4E4D-BCCB-A684D15DA968 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Inter-Faith Council for Social Service Party/Vendor Contact Person: John Dorward Contact <br /> Phone: 919-929-6380 Party/Vendor Address: 110 West Main Street City Carrboro State: NC Zip: 27510 <br /> Department: Finance & Adm. Srv. Amount:$ 44,000 Purpose: Outside Agency Performance Agreement Budget <br /> Code(s): 10495050 710022 Vendor 4 800007 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoX <br /> Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by Board <br /> YesX No❑ Agenda Date:June 16,2015 <br /> This agreement is approved as to tech Fa�t riAde.�s A?v+e rn7 tbeAnt, <br /> : <br /> 7/28/2015 Department Director's Signature Date: <br /> ... <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 PHRgumsme V-ann1dards,specifications,and requirements: <br /> flusa, (bvvt,e,ttb 7/28/2015 <br /> Office of the Risk Management Officer ZEDCEPUB900408__ Date: <br /> Financial Services <br /> This instrument has been pre-audited in th7PaYtA+bVU g> .red by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 7/28/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to 6 etmi sufficiency: <br /> Office of the County Attorney Date: 7/28/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go 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 /> (Inter-Faith Council for Social Service) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />