R 2016-617-E Finance - United Way of the Greater Triangle - Outside Agency Performance Agreement

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DocuSign Envelope ID:9859FC61D-3EEB-4CM-9891-BE11A53D9413 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: United Way of the Greater Triangle Party/Vendor Contact Person: Mack Koonce Contact Phone: 919-463-5010 Party/Vendor Address: 2400 Perimeter Park Drive, Suite 150 City Morrisville State: NC Zip: 27560 Department: Finance&Administrative Services Amount: 16030 Purpose: Outside Agencies Funding Budget Code(s): 10495050-720118 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 ®Nor-1 Agenda Date: 6/21/16 This agreement is approved as to technical form an tlejW.igned 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 rgtw*dafd":specifications,and requirements: Qusa. COV'lnd 6 Office of the Risk Management Officer 71MCE91768004gg Date: Financial Services This instrument has been pre-audited in the manner qu�dl :Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: ildF51ginrr�anq Legal Services This agreement is approved as to legal form and su !?.igned by: Office of the County Attorney ;4_ 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: (United Way of the Greater Triangle) Orange County Outside Agency Performance Agreement Rev. 8116