Orange County NC Website
Browse       Search
DocuSign Envelope ID: CC04046A-B5EF-46B4-A803-5AA8F66A6F23 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Chapel Hill-Carrboro Meals on Wheels Party/Vendor Contact Person: Stacey Yusko Contact <br /> Phone: 919-942-2948 Party/Vendor Address: 1712 Willow Drive City Chapel HIII State: NC Zip: 27514 <br /> Department: Finance & Adm. Srv. Amount:$ 10,000 Purpose: Outside Agency Performance Agreement Budget <br /> Code(s): 10495050 719053 Vendor 4 800080 (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 tec PfMiftnaftkontent: <br /> � <br /> Department Director's Signature ,o+bvu DFFE9EFAS��B... Date: 7/28/2015 <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 '�W ""�Ial1nLLdards,specifications,and requirements: <br /> Office of the Risk Management Officer auSa (hm,,ttb Date 7/28/2015 <br /> Financial Services <br /> This instrument has been pre-audited in.144eammitmwquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer PMAL t, bw /Date: 7 28/2015 <br /> Legal Services <br /> This agreement is approved as to ga4`I ftaqt:sufficiency: <br /> Office of the Count Attorney Date: 7/28/2015 <br /> Y y 4n2sr.aaan4r.A4Aa <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 /> (Chapel Hill-Carrboro Meals on Wheels) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />