R 2016-656-E Finance - OC Partnership for Young Children - Outside Agency Performance Agreement

Browse Search

DocuSign Envelope ID: DD554565-B9BA-4128-863D-805D6BC56619 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Orange County Partnership for Young Children Party/Vendor Contact Person: Robin Pulver Contact Phone: 919-967-9091 Party/Vendor Address: 120 Providence Rd, Suite 101 City Chapel Hill State:NC Zip: 27514 Department: Finance &Administrative Services Amount: 3500 Purpose: Outside Agencies Funding Budget Code(s): 10495050-719050 Vendor# 62736 (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 forma _3 1 W?Wed by: (IN,M A _ Department Director's Signature 7DaE5181ACC1409... 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 g4md wdsy-specifications,and requirements: Qusa, CV'lnd O 6 Office of the Risk Management Officer 71MCE91768004gg Date: Financial Services This instrument has been pre-audited in the manner r qui T i�yLocal Government Budget and Fiscal Control Act: Office of the Chief Financial Officer � n Date: naFS�g�nrr�anq Legal Services This agreement is approved as to legal form and suf clelligned by: Office of the County Attorney nssnaftsn papa 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: (Orange County Partnership for Young Children) Orange County Outside Agency Performance Agreement Rev. 8116