R 2016-581-E Finance - Behavioral Insights, Inc.- Outside Agency Performance Agreement

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DocuSign Envelope ID:7D246B6F-37D5-48F7-99D7-98C230BA1C70 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Behavioral Insights, Inc. Party/Vendor Contact Person: Joyce Kuhn Contact Phone: 919-428- 0710 Party/Vendor Address: 100 North Churton Street City Hillsborough State: NC Zip: 27278 Department: Finance &Administrative Services Amount: 4000 Purpose: Outside Agencies Funding Budget Code(s): - Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes[]No❑ Agenda Date: 6/21/16 This agreement is approved as to technical form n d M!d by: Department Director's Signature L 7 FS � ng Date: na �g�nrr�anq Information Technolo0es (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 of insur Sta�r€kwdPyspecifications,and requirements: Qusa. COV'lnd 6 Office of the Risk Management Officer 7RQCF917R8Q049A Date: Financial Services This instrument has been pre-audited in the manner�rcquirc "°y tj 0 Lo al Government Budget and Fiscal Control Act: Office of the Chief Financial Officer 7o4ES1a1 yCC1409... Date: Legal Services This agreement is approved as to legal form and s iciency-. by: � 4,- Office of the County Attorney 4oascBSSo4cA4as Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollod(cr�,oran eg countvnc og_v The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: (Behavioral Insights,Inc) Orange County Outside Agency Performance Agreement Rev. 8116