Orange County NC Website
DocuSign Envelope ID:88AEE9BF-924A-442D-BD41-DC640F1 E1 BAC <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Dispute Settlement Center, Inc. Party/Vendor Contact Person: Frances W. Henderson Contact <br /> Phone: (919) 919 8800, x11 Party/Vendor Address: 302 Weaver Street City Carrboro State: NC Zip: 27510 <br /> Department:Finance &Administrative Services Amount: 81500 Purpose: FY 2017-18 Outside Agency Performance <br /> Agreement Budget Code(s): 10495050710003 Vendor # 800029 (N/A if new vendor) Vendor is a BOCC <br /> 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 /> Docu i ned <br /> This agreement is approved as to technical rm an �Lo ant: <br /> d 8/31/2017 <br /> Department Director's Signature 7D4E5181ACC1409_. Date: <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 /> This agreement is approved for sufficiency of ins re'sittiwtss,specifications,and requirements: <br /> Riskk. Cart 'ttb 8/31/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> DocuSigned by: <br /> This instrument has been pre-audited in the mann r required b the ocal Government Budget and Fiscal Control Act: <br /> ( "N ,U '"°-st. 8/31/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as to legal form an u Mt-NM :by: <br /> ittAIAL t, 1 SCb 9/5/2017 <br /> Office of the County Attorney 079nnDsscr1E4EB._ 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 /> (Dispute Settlement Center,Inc.) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />