Orange County NC Website
Browse       Search
DocuSign Envelope ID:60192208-BFA3-4E38-9277-B2390FDDC97D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pathways to Change Inc. Party/Vendor Contact Person: Kathryn Bauman Contact Phone:919- <br /> 391-0365 Party/Vendor Address: 960 Corporate Drive City Hillsborough State: NC Zip: 27278 Department: <br /> Finance & Administrative Services Amount: 9400 Purpose: FY 2017-18 Outside Agency Performance Agreement <br /> Budget Code(s): 10495050720112 Vendor# 800419 (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 technical form n EMIR by: <br /> 4.6 2ofL 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 insu �� -s�.,s ecifications,and requirements: <br /> AListk. r,6 0 9/7/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner regfiiIg{I Pie Local Government Budget and Fiscal Control Act: <br /> e 00,4 di 8/31/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409. Date: <br /> Legal Services <br /> DocuSiyned by: <br /> This agreement is approved as to legal form and s firieenccyy. . <br /> lG�L A4441t, 1Stito 9/7/2017 <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 /> (Pathways to Change Inc.) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />