Orange County NC Website
DocuSign Envelope ID:E519448F-9F6D-4100-BF62-D7625621FFEB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Partnership for Young Children Party/Vendor Contact Person: Robin Pulver <br /> Contact Phone: 919-967-9091 Party/Vendor Address: 120 Providence Rd, Suite 101 City Chapel Hill State: NC Zip: <br /> 27514 Department: Finance & Administrative Services Amount: 5500 Purpose: FY 2017-18 Outside Agency <br /> Performance Agreement Budget Code(s): 10495050719050 Vendor# 62736 (N/A if new vendor) Vendor is a <br /> BOCC 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 techni Off*Sd dc`%ntent: <br /> ,�o,, ipz 10/10/2017 <br /> Department Director's Signature <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 oaatrn _ids,specifications, and requirements: <br /> aMtSA. £IVIU to 10/18/2017 <br /> Office of the Risk Management Officer Date: <br /> $rocrons8004D8... <br /> Financial Services <br /> This instrument has been pre-audited in the m nefl8MiTirby the Local Government Budget and Fiscal Control Act: <br /> Anicido,o0t. 10/10/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as to legal form and.0 "Itlei€ by. <br /> ate, pal, 1SG6 10/23/2017 <br /> Office of the County Attorney , • ,oF, G^FB 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 /> (Orange County Partnership for Young Children) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />