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<br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Chapel Hill Carrboro City Schools Party/Vendor Contact Person: Dr. Magda Parvey Contact <br /> Phone: 919-967-8211x28282 Party/Vendor Address: 750 S.Merritt Mill Rd. City Chapel Hill State:NC Zip:27516 <br /> Department: Health Amount: $0 Purpose: Kindergarten Jump Start Program Amdendment Budget Code(s): N/A <br /> Vendor#22226 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No X Contract Type: (Check one) <br /> New ❑ Renewal❑ Amendment X Effective Date 6/1/15 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: G <br /> De p art ment Director's Si g nature 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 /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the anner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to f and suffi <br /> lega <br /> Office of the County Attorney Date: �� S <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard co ies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: ! �! <br /> Orange County Outside Agency Performance Agreement Page 6 of 6 <br />