Orange County NC Website
ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Rave Crisis Center Party/Vendor Contact Person: Irene Dwinnell Contact <br /> Phone:919-9684647 Party/Vendor Address:1506 E.Franklin St.Suite 302 City Chanel Hill State:NC Zip:27515 <br /> Department: Finance & Administrative Services Amount: 35000 Purpose: Outside Agencies Funding Budget <br /> Code(s): 10495050-710009 Vendor#800015 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑Non <br /> Contract Type:(Check one)New® Renewal❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes <br /> ®No❑ Agenda Date:6/21/16 <br /> This agreement is approved as to technical ntent: <br /> Department Director's Signature Date: 6 <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer l/ ice. N/ Date: l op Ik <br /> Fin cial Se ces <br /> This instrument has been pre-audited in the m er u ed b the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 221 I <br /> Leeal Services <br /> This agreement is approved as to legal f a su .e <br /> Office of the County Attorney Date: O `P <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydaoranizecountync.gov <br /> The following signature block is for hard copies o not uired for Docusign contracts: <br /> Office of the Clerk to the Board Date: Z l ,* <br /> (Orange 3County Rape Crisis Center) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />