R 2016-523-E Health - YMCA of the Triangle, Inc. for afterschool Y Learning Program at New Hope Elem. School

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DocuSign Envelope ID:OFED21311-8255-4593-8131F-CEF2E643BCF2 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: YMCA of the Triangle.Inc. Party/Vendor Contact Person: Aubrey Vinson Contact Phone: 919- 442-9622 Party/Vendor Address: 980 MLK Jr. Blvd City Chapel Hill State: NC Zip: 27514 Department: Health Amount: $2,500 Purpose: Provide an after school Y Learning program at New Hope elementary. Budget Code(s): 10412020-630000-71453 Vendor # 52475 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/1/16 Approved by Board Yes ❑No❑ Agenda Date: This agreement is approved as to to ndc��`o1�d tnt: ('�(� 9/12/2016 Department Director's Signature cseosooFCSesase... Date: Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency iiqst '_)stanndards,specifications,and requirements: a�tSA. rbvvutl6 9/12/2016 Office of the Risk Management Officer so, n�$ Date: Financial Services This instrument has been pre-audited i e°li'WIMP�6:quired by the Local Government Budget and Fiscal Control Act: Lj-t-A `�°" '`"L 9/13/2016 Office of the Chief Financial Officer Date: Legal Services This agreement is approved as tcr 016imfAd sufficiency: Office of the County Attorney L 40 4V-_ Date: 9/13/2016 4ea5eBaB D_ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d&oran etync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 6/16 5