R 2016-642-E Finance - Marian Cheek Jackson Center for Saving and Making History - Outside Agency Performance Agreement

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DocuSign Envelope ID:C8D98134-3597-4323-98FA-COCA282OB225 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Marian Cheek Jackson Center for Saving and Malting History Party/Vendor Contact Person: Della Pollock Contact Phone: 919-960-1670 Party/Vendor Address: 512 W. Rosemary Street City Chapel Hill State: NC Zip: 27516 Department: Finance &Administrative Services Amount: 10000 Purpose: Outside Agencies Fundinc Budget Code(s): 10495050-719065 Vendor # 838482 (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 ti f!igned by: Department Director's Signature C?q Date: Information Technologies (Applicahle only to hardwarelsoftware 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 insura AwWwr+�e)specifications, and requirements: a�iSa Cblb Office of the Risk Management Officer SO_PQ17ARnna9s Date: Financial Services This instrument has been pre-audited in the manner '"q*Local Government Budget and Fiscal Control Act: Cq Office of the Chief Financial Officer �,o ,onam Date: Legal Services This agreement is approved as to legal form and su _ C%3Sjgned 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 @ Dolloydgoran eg countync. oovv The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: (Marian Cheek Jackson Center for Saving and Making History) Orange County Outside Agency Performance Agreement Rev. 8116