Orange County NC Website
DocuSign Envelope ID:99BDCA4A-2934-455A-8D45-OC865AD016DO <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Big Brothers Big Sisters of the Triangle,Inc. Party/Vendor Contact Person: CEO Kim Breeden <br /> Contact Phone: 919.850.9772 Party/Vendor Address: 808 Aviation Parkway, Suite 900 City Morrisville State: NC <br /> Zip: 27560 Department: Finance & Administrative Services Amount: 4000 Purpose: Outside Agencies Funding <br /> Budget Code(s): 10495050-719039 Vendor# 800044 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ <br /> No❑ Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 7/1/16 Approved by Board <br /> Yes®No❑ Agenda Date: 6/21/16 <br /> This agreement is approved as to technical fo anTWWAPY, <br /> ion 11/11/2016 <br /> Department Director's Signature 7D4ES1 a 1ACC1409... Date: <br /> Information Technolo0es <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 insuran /em&,4ri�,bxpecifications,and requirements: <br /> 'USA, r,O�6 11/11/2016 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner uY t°Lf`1N1P1ft Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer rl Date: 11/11/2016 <br /> ea€sa.�aA=arm... <br /> Legal Services <br /> This agreement is approved as to legal form and su iciMey. by: <br /> C �, 11/11/2016 <br /> Office of the County Attorney o35CE8'3 cA4AD Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> (Big Brothers Big Sisters of the Triangle,Inc) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />