R 2016-583-E Finance - Farmer Foodshare, Inc. - Outside Agency Performance Agreement

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DocuSign Envelope ID:AA509FB2-AOC3-456C-9F67-9DDC0879C15B ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Farmer Foodshare Party/Vendor Contact Person: Gini Bell Contact Phone: 919.360.6358 Party/Vendor Address: 902 North Mangum Street City Durham State: NC Zip: 27701 Department: Finance & Administrative Services Amount: 2500 Purpose: Outside Agencies Funding Budget Code(s): 10695050-720170 Vendor# 838481 (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 DocuSigned by: This agreement is approved as to technical form an t7D4E5181ACC1409 e Department Director's Signature ... Date: 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 Awa yspecifications,and requirements: Qusa. COV'lnd 6 Office of the Risk Management Officer 7FDCF9176800498... Date: Financial Services gocuS" ned by: This instrument has been pre-audited in the manner rr7D4E5181ACC1409 eed y teal Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ... Date: Legal Services This agreement is approved as to legal form and suff'7�Ei ed by: Office of the County Attorney 4�_ Da te: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.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: (Farmer Foodshare) Orange County Outside Agency Performance Agreement Rev. 8116