Orange County NC Website
DocuSign Envelope ID:8A53AD8F-2163-47C6-8232-15DOF9057761 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Bridge II Sports Party/Vendor Contact Person: Ashley Thomas Contact Phone: 866-880-2740 <br /> Party/Vendor Address: 4122 Bennett Memorial Road Suite 105 City Durham State: NC Zip: 27705 Department: <br /> Finance & Adm. Srv. Amount:$ 2,500 Purpose: Outside Agency Performance Agreement Budget Code(s): <br /> 10495050 719056 Vendor 4 62735 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoX Contract <br /> Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by Board YesX <br /> No❑ Agenda Date: June 16,2015 <br /> This agreement is approved as to technic 1 f rm nd content: <br /> �ocu�igne y: <br /> Department Director's Signature <br /> blti Date: 9/16/2015 <br /> 232DFFC2CFA847B... <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 /> ''111L <br /> Office of the Risk Management Officer PCs& 6bvvt,e,ttb Date: 9/15/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in th n-U nEggpired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer NAL t, bvu Date: 9/16/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le al f�� ianc�buufficiency: <br /> Office of the County Attorney ✓ Date: 9/17/2015 <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 /> (Bridge 11 Sports) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />