Orange County NC Website
DocuSign Envelope ID: E546BA93-2CAA-4121-B91A-3F2107563B4D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Movement of Youth Inc. Party/Vendor Contact Person: Atrayus Goode Contact Phone: 1-800- <br /> 956-3820 Party/Vendor Address: 406 Blackwell Street B030 City Durham State: NC Zip: 27701 Department: <br /> Finance & Administrative Services Amount: 20213 Purpose: FY 2017-18 Outside Agency Performance Agreement <br /> Budget Code(s): 10495050719074 Vendor# 800818 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by <br /> Board YesZ No Agenda Date: 6/20/2017 <br /> This agreement is approved as to tec a P8fIngdi bEontent: <br /> 0 d 9/1/2017 <br /> Department Director's Signature 7n4F5181ACC14ne 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 i Lueigraclidards,specifications,and requirements: <br /> QiSA. Cart e tt0 9/5/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the ma er fe£ t?8til l the Local Government Budget and Fiscal Control Act: <br /> ( f. '60,1.41 i'"m. 9/1/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409. Date: <br /> Legal Services <br /> DocuSigned by: <br /> This agreement is approved as to legal form ang.sat/UAL 'K AM��Aft 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 /> (Movement of Youth Inc.) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />