R 2016-584-E Finance - Piedmont Wildlife Center - Outside Agency Performance Agreement

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DocuSign Envelope ID: B55679E1-82FB-4A06-BBCF-6BC218E4CADA ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Piedmont Wildlife Center Party/Vendor Contact Person: Gail Abrams Contact Phone: 919- 489-0900 Party/Vendor Address: 364 Leigh Farm Rd. City Durham State: NC Zip: 27707 Department: Finance & Administrative Services Amount: 3500 Purpose: Outside Agencies Funding Budget Code(s): 10495050-719032 Vendor# 51232 (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 forma 7B11lGl�ed by: 2olL Department Director's Signature 481A14 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 cAaa dsy:specifications,and requirements: Q�Sa COV'ln,t,{fb Office of the Risk Management Officer Date: 4FBGFi)-6800498... Financial Services This instrument has been pre-audited in the manner Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: sa€sa.�a n.��a ar�4 Legal Services This agreement is approved as to legal form and su ys geed by: Office of the County Attorney ff 4 1`� Date: 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: (Piedmont Wildlife Center) Orange County Outside Agency Performance Agreement Rev. 8116