R 2017-583-E Finance - A Helping Hand - Outside Agency Performance Agreement

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DocuSign Envelope ID: EA54395E-EA79-461 B-8A4A-AODF56E9A02D ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: A Helping Hand Party/Vendor Contact Person: Jennifer Ashley Contact Phone: 919-403-5555 Party/Vendor Address: 1502 W.NC Hwy 54, Suite 405 City Durham State:NC Zip: 27707 Department: Finance& Administrative Services Amount: Purpose: FY 2017-18 Outside Agency Performance Agreement Budget Code(s): 10495050720085 Vendor# 800034 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by Board YesZ No ❑ Agenda Date: 6/20/2017 This agreement is approved as to technical fo i 1 t: Department Director's Signature 0 � Date: 10/17/2017 D-4€51-81/cee1-*@9... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of ins marls,specifications,and requirements: Q�SA. (,6VtA. tt0 10/18/2017 Office of the Risk Management Officer 7FBGF9 6@9Q499 Date: Financial Services This instrument has been pre-audited in the manna 4,1iPatiet9yythe Local Government Budget and Fiscal Control Act: e, 0 „i,,,,L 10/17/2017 Office of the Chief Financial Officer (' D � 9 Date: Legal Services This agreement is approved as to legal form an fiiaoy: QU.IA - rit 1 SCb 10/23/2017 Office of the County Attorney Date: 079A4D525COF4FB... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: (A Helping Hand) Orange County Outside Agency Performance Agreement Page 7 of 10 Rev. 7/17