R 2016-585-E Finance - KidSCope: Chapel Hill Training Outreach Project, Inc. - Outside Agency Performance Agreement

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DocuSign Envelope ID: 373C6CF5-BA35-4F9B-A420-087EBFE4784E ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: KidSCope: Chapel Hill Training Outreach Project, Inc. Party/Vendor Contact Person: Mike Mathers Contact Phone: 919-644-6590 x 4810 Party/Vendor Address: 800 Eastowne Dr., Suite 105 City Chapel Hill State: NC Zip: 27514 Department: Finance &Administrative Services Amount: 75000 Purpose: Outside Agencies Funding Budget Code(s): 10495050-710015 Vendor # 800060 (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 RA9pft1919a by: 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 IMa�Wrdgp pecifications,and requirements: Q�Sa COV lnef i Office of the Risk Management Officer 7FDCF9176800498... Date: Financial Services This instrument has been pre-audited in the manne7 Ana atfetlqb10 the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date:"�a ... Legal Services This agreement is approved as to legal form and suf lcleignea by: Office of the County Attorney 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: (KidSCope: Chapel Hill Training Outreach Project,Inc) Orange County Outside Agency Performance Agreement Rev. 8116