Orange County NC Website
Browse       Search
DocuSign Envelope ID: 5205F23F-E354-4606-942C-6C5F71600920 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Marian Cheek Jackson Center for Saving and Making History Party/Vendor Contact Person: <br /> Della Pollock Contact Phone: 919-357-5391 Party/Vendor Address: 512 W. Rosemary Street City Chapel Hill <br /> State: NC Zip: 27516 Department: Finance & Adm. Srv. Amount:$ 8,000 Purpose: Outside Agency Performance <br /> Agreement Budget Code(s): 10495050 719065 Vendor 4 838482 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑NoX Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1 <br /> 2015 Approved by Board YesX No❑ Agenda Date:June 16,2015 <br /> This agreement is approved as to technical fo � el�y: <br /> bin,Department Director's Signature to D".�DFFE9EFAS+�B... Date: 7/29/2015 <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 of insuran �� pecifications,and requirements: <br /> Q�ASA. rbvvt,e,tt0 <br /> Office of the Risk Management Officer F Date: 7/29/2015 <br /> Financial Services <br /> This instrument has been pre-audited in the mann 72a2aF_FC9_CEA8_4,7R cQQ�'8l 961 ie Local Government Budget and Fiscal Control Act: <br /> , M 7/29/2015 <br /> Office of the Chief Financial Officer __ D ate: <br /> Legal Services <br /> This agreement is approved as to legal OF 5Y M"ciency: <br /> ✓ l,}ry�` 7/30/2015 <br /> Office of the County Attorney 35CB8304CA4as.. Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydLyorangecoun ne.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 /> (Marian Cheek Jackson Center for Saving and Making History) <br /> Orange County Outside Agency Performance Agreement Page 7 of 7 <br /> Rev. 6115 <br />