R 2016-631-E Finance - Compass Center for Women and Families - Outside Agency Performance Agreement

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DocuSign Envelope ID: E9DE81F9-0070-4074-8F70-93DABC24ACE1 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Compass Center for Women and Families Party/Vendor Contact Person: Cordelia Heaney Contact Phone: 919-968-4610 Party/Vendor Address: 210 Henderson St.,PO Box 1057 City Chapel Hill State: NC Zip: 27514 Department: Finance & Administrative Services Amount: 64500 Purpose: Outside Agencies Funding Budget Code(s): 10495050-719063 Vendor# 800019 (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 a Oigned by: Department Director's Signature Date: 4B&C-r1S4RC61 IA9... 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 insuran AndaMgy gpecifications,and requirements: Q�Sa COV'ln,t,{fb Office of the Risk Management Officer ,F��Fg�zsRnnag� Date: Financial Services This instrument has been pre-audited in the manner uQ?ee%3y1ft 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 suff -6ocusigned by: Office of the County Attorney 4�,q 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: (Compass Center for Women and Families) Orange County Outside Agency Performance Agreement Rev. 8116