R 2016-600-E Finance - Ligo Dojo of Budo Karate - Outside Agency Performance Agreement

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DocuSign Envelope ID:913F749B-B9E8-4103-AF9D-A4296D01069E ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Ligo Dojo of Budo Karate Party/Vendor Contact Person: Nathan Ligo Contact Phone: 919923- 6915 Party/Vendor Address: 2518 B Millwood Court City Chapel Hill State: NC Zip: 27514 Department: Finance & Administrative Services Amount: 2000 Purpose: Outside Agencies Funding Budget Code(s): 10495050-719068 Vendor# 60958 (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 an con clifigned by: Department Director's Signature Z5181ACC1409 2osz 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 Dspohd ,s ecifications,and requirements: 77FDCF9176800498 USX C6 6 Office of the Risk Management Officer ... Date: Financial Services This instrument has been pre-audited in the manner re uire°DT e Government Budget and Fiscal Control Act: Office of the Chief Financial Officer 7D4ES1a1ACC1409... Date: Legal Services This agreement is approved as to legal form and su @ft�e?tgned 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: (Ligo Dojo of Budo Karate) Orange County Outside Agency Performance Agreement Rev. 8116