Orange County NC Website
DocuSign Envelope ID:OB7577DD-4982-4CBB-95CF-8BB6889E6F1 D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Voices Together Party/Vendor Contact Person: Yasmine White Contact Phone: 919942-2714 <br /> Party/Vendor Address: 5007 Southpark Drive. Suite 230 City Durham State:NC Zip:27713 Department:Finance& <br /> Adm. Srv. Amount:$ 10,000 Purpose: Outside Agency Performance Agreement Budget Code(s): 10495050 719066 <br /> Vendor 4 62051 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoX Contract Type: (Check one) <br /> New ❑ Renewal ❑ Amendment ❑ Effective Date July 1, 2015 Approved by Board YesX No❑ Agenda <br /> Date: June 16,2015 <br /> This agreement is approved as to tecQ ��,����p.Ad��content: <br /> Department Director's Signature pm/,L to D""`bvu Date: 9/17/2015 <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 /> 5AUS.DocuSigned""by:''11LL Office of the Risk Management Officer (,bvvte& Date: 9/17/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSi+gn__ed by: <br /> Office of the Chief Financial Officer lA Vbw Date: 9/17/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney Date: 9/17/2015 <br /> 4035CB83046A4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydLvorangecoul Utne.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 /> (Voices Together) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />