R 2016-599-E Finance - OCIM Meals on Wheels - Outside Agency Performance Agreement

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DocuSign Envelope ID:40C9OB7F-D85F-4E1C-A5CA-4BC263526A8E ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Orange Congregations in Mission-Meals on Wheels Party/Vendor Contact Person: Rev. Sharon S.Freeland Contact Phone: 919-732-6194 x10 Party/Vendor Address: 300 Millstone Drive City Hillsborough State: NC Zip: 27278 Department: Finance & Administrative Services Amount: 17000 Purpose: Outside Agencies Funding Budget Code(s): 10495050-710031 Vendor # 800010 (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 to nii"tby: Department Director's Signature Date: p g nn Gsa.�a n.��a arm 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, ikws dawal @x:specifications,and requirements: gusa. (hVVxft6 Office of the Risk Management Officer Date: Financial Services This instrument has been pre-audited in the manne7 ;ft 8tfeyo the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: Legal Services This agreement is approved as to legal form and suf cie$i�� ed 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: (Orange Congregations in Mission-Meals on Wheels) Orange County Outside Agency Performance Agreement Rev. 8116