Orange County NC Website
DocuSign Envelope ID:F9ADA870-944A-40DD-98D0-3DB55F3AD8E5 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Chapel Hill-Carrboro Public School Foundation Party/Vendor Contact Person: Lynn Lehmann <br /> Contact Phone: 919-968-8819 Party/Vendor Address: 750 South Merritt Mill Road City Chapel Hill State: NC Zip: <br /> 27516 Department: Finance & Administrative Services Amount: 563 Purpose: FY 2017-18 Outside Agency <br /> Performance Agreement Budget Code(s): 10495050719072 Vendor# 800819 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical for a$BeRi41i'crfl'`.: <br /> Department Director's Signature Date: 8/31/2017 <br /> A g Zn4F5181 ACC140Q <br /> Information Technologies <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 /> Docu i ne <br /> This agreement is approved for sufficiency of ins a e s ab ais specifications, and requirements: <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: 8/31/2017 <br /> Financial Services <br /> This instrument has been pre-audited in the manner equP8rMilli6 Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 7D4E5181ACC1409. <br /> Date: 8/31/2017 <br /> .. <br /> Legal Services <br /> DocuSianed by: <br /> This agreement is approved as to legal form an sufnciency. <br /> atAAAA. ' a``l' SG6 9/5/2017 <br /> Office of the County Attorney 079A4D525C0F4FB... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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 /> (Chapel Hill-Carrhoro Public School Foundation) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />