Orange County NC Website
DocuSign Envelope ID: 1007B77C-A009-4AA3-964B-3B03B9585341 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Bridge II Sports Party/Vendor Contact Person: Ashley Thomas Contact Phone: 866-880-2742 <br /> Party/Vendor Address: 4122 Bennett Memorial Rd, Suite 105 City Durham State: NC Zip: 27705 Department: <br /> Finance &Administrative Services Amount: 5250 Purpose: Outside Agencies Funding Budget Code(s): 10495050- <br /> 719056 Vendor # 62735 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes[] No❑ <br /> Agenda Date: 6/21/16 <br /> ocuSi ne by: <br /> This agreement is approved as to technical fo anTc en <br /> Department Director's Signature 7DZ5181ACC1409... Date: <br /> Information Technolo0es <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 insuran 9ndm*V specifications,and requirements: <br /> Q�Sa COV'ln,t,{fb <br /> Office of the Risk Management Officer ,F rFg�7�Rnnagg Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner e,Agi"&"t Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer ��n Date: <br /> naFS�ginrr�anq <br /> Legal Services <br /> This agreement is approved as to legal forth and suffi ' usignea by: <br /> Office of the County Attorney I 4� 4,— Date: <br /> 403 CB83D4CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.gov <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 II Sports) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />