R 2016-587-E Finance - Chapel Hill-Carrboro Meals on Wheels - Outside Agency Performance Agreement

Browse Search

DocuSign Envelope ID:24839407-DB2D-47A2-B399-3BEA061662C1 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Chapel Hill-Canboro Meals on Wheels Party/Vendor Contact Person: Stacey Yusko Contact Phone: 919-942-2948 Party/Vendor Address: 1712 Willow Drive City Chapel Hill State: NC Zip: 27514 Department: Finance & Administrative Services Amount: 15000 Purpose: Outside Agencies Funding Budget Code(s): 10495050-719053 Vendor# 800080 (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 ®Nor-1 Agenda Date: 6/21/16 This agreement is approved as to technical to 7O)Eoiw e A tyr Department Director's Signature Date: �B&Er1S4RCS 1409... 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 insuran nwM&I tapecifications,and requirements: la7�71MCE91 sa. (hV�xft6 Office of the Risk Management Officer 26 8004M Date: Financial Services This instrument has been pre-audited in the manner equMseO'Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer 4 81ACC14 Date: Legal Services This agreement is approved as to legal form and su C1�guSignea by: Y� 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: (Chapel Hill-Carrboro Meals on Wheels) Orange County Outside Agency Performance Agreement Rev. 8116