R 2016-613-E Finance - Volunteers for Youth - Outside Agency Performance Agreement

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DocuSign Envelope ID: 3CD68914-055B-4274-9AF2-A50FD766FB76 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Volunteers for Youth Party/Vendor Contact Person: Susan Worley Contact Phone: 919-967- 4511 Party/Vendor Address: 205 Lloyd Street, Suite 103 City Carrboro State:NC Zip: 27510 Department: Finance &Administrative Services Amount: 7500 Purpose: Outside Agencies Funding Budget Code(s): - Vendor# (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 ) Q ggned 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 specifications,and requirements: QU,Sa COV'lnd 6 Office of the Risk Management Officer ,F �Fg„5��49� Date: Financial Services This instrument has been pre-audited in the manner r 'fL&0j9nt MyLocal Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: �B&Er1S40 CS 1409... Legal Services This agreement is approved as to legal form and su 7 ,,,g ed by: Office of the County Attorne y . . Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollod(cr�.oran eg countyac.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: (Volunteers for Youth) Orange County Outside Agency Performance Agreement Rev. 8/16