Orange County NC Website
DocuSign Envelope ID:A7C6F33D-94AA-4E9D-9C4B-56A24EB7D30D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Compass Center for Women and Families Party/Vendor Contact Person: Ardith Burkes <br /> Contact Phone: 919-968-4610 Party/Vendor Address: 210 Henderson St.,PO Box 1057 City Chapel Hill State: NC <br /> Zip: 27514 Department: Finance &Adm. Srv. Amount:$ 64,500 Purpose: Outside Agency Performance Agreement <br /> Budget Code(s): 10495050 719063 Vendor 4 800019 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> NoX Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by <br /> Board YesX No❑ Agenda Date:June 16,2015 <br /> This agreement is approved as to tec 91),f"rfa content: <br /> PA.U�, bin, 8/5/2015 <br /> Department Director's Signature 29FFC' FA847-9... Date: <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"" b D by: <br /> ''1L <br /> Office of the Risk Management OfficerPCs& rbvvt,e ate: 8/5/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the rpm/,L 9pLii gAigVd by the Local Government Budget and Fiscal Control Act: <br /> ����(�� 8/5/2015 <br /> Office of the Chief Financial Officer �,"-"'D"nbvu Date: <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved a to le aU, fficiency: <br /> Office of the County Attorney ✓ Date: 8/5/2015 <br /> 4035CB8304CA4A9... <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 /> (Compass Center for Women and Families) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />