Orange County NC Website
DocuSign Envelope ID: E865EBC7-DCBB-4CE6-A224-13D663E29E12 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Compass Center for Women and Families Party/Vendor Contact Person: Cordelia Heaney <br /> Contact Phone: 919-968-4610 Party/Vendor Address: 210 Henderson St City Chapel Hill State: NC Zip: 27514 <br /> Department:Finance &Administrative Services Amount: 65200 Purpose: FY 2017-18 Outside Agency Performance <br /> Agreement Budget Code(s): 10495050719063 Vendor # 800019 (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 /> This agreement is approved as to technical fo a?fd°eneiT: <br /> 00,44t/di 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 Pecstiwitthhis,specifications,and requirements: <br /> RiSA. rbvvte ttb 8/31/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the maim reciiiffari5Vtlie Local Government Budget and Fiscal Control Act: <br /> q0„ 00,44t/dia,vg. <br /> Office of the Chief Financial Officer ('o4E�s,B,Ac,4 Date: 8/31/2017 <br /> Legal Services <br /> This agreement is approved as to legal form a stPl ia1'R�A ��� <br /> It AIAL 4ytt, 1 SCb 9/5/2017 <br /> Office of the County Attorney 079AADsscr1E4EB._ 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 /> (Compass Center for Women and Families) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />