Orange County NC Website
DocuSign Envelope ID:A13A145D-D67A-4FF7-ABA9-312E380D8DD9 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Volunteers for Youth Party/Vendor Contact Person: Susan Worley Contact Phone: 919-967- <br /> 4511 Party/Vendor Address: 205 Lloyd Street, Suite 103 City Carrboro State: NC Zip: 27510 Department: Finance <br /> & Administrative Services Amount: 8750 Purpose: FY 2017-18 Outside Agency Performance Agreement Budget <br /> Code(s): 10495050710011 Vendor# 800018 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by Board <br /> Yes No Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical for flel: meet <br /> a �o� 8/31/2017 <br /> Department Director's Signature Date: <br /> 7D4E5181A =o'... <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 rk ieeFdsj�specifications,and requirements: <br /> attSA. 6611 t,T1-b 9/7/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the mann r reD uire` e Yihe Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: 8/31/2017 <br /> Legal Services <br /> This agreement is approved as to legal form an su?Peen by' <br /> tAAAA- NAM, 1SC6 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 /> (Volunteers for Youth) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />