Orange County NC Website
DocuSign Envelope ID: 16AB4DFA-7125-42E6-B3E7-C6B53151B77C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Voices Together Party/Vendor Contact Person: Yasmine White Contact Phone: 919942-2714 <br /> Party/Vendor Address: 5007 Southpark Drive. Suite 230 City Durham State:NC Zip: 27713 Department: Finance& <br /> Administrative Services Amount: 15000 Purpose: Outside Agencies Funding Budget Code(s): 10495050-719066 <br /> Vendor# 62051 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes[] No❑ Agenda Date: <br /> 6/21/16 <br /> This agreement is approved as to technical to VAoefitby: <br /> Department Director's Signature Date: 11/10/2016 <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 insur Id a gpWecifications,and requirements: <br /> QUSA r ;8004M16 11/14/2016 <br /> Office of the Risk Management Officer ,F��Fg�z yv t Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manne re i iPPV� c Local Government Budget and Fiscal Control Act: <br /> (� 11/10/2016 <br /> Office of the Chief Financial Officer 7o4C2 yCC14og... Date. <br /> Legal Services <br /> This agreement is approved as to legal form and suffi . egpuSigned by: <br /> Office of the County Attorney Date:11/15/2016 <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 /> (Voices Together) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />