Orange County NC Website
DocuSign Envelope ID:71415AD7-DCDD-4CF6-89A9-F93F72D8DC62 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange Congregations in Mission Party/Vendor Contact Person: Rev. Sharon S. Freeland <br /> Contact Phone: 919-732-6194 x10 Party/Vendor Address: 300 Millstone Drive City Hillsborough State: NC Zip: <br /> 27278 Department: Finance & Administrative Services Amount: 71415 Purpose: FY 2017-18 Outside Agency <br /> Performance Agreement Budget Code(s): 10495050710031 Vendor# 800010 (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 technicarforPagt neontent: <br /> Anicido,ox. 10/10/2017 <br /> Department Director's Signature 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 in lams s;, '-tlairds,specifications, and requirements: <br /> MSA. rbvvutl6 10/16/2017 <br /> Office of the Risk Management Officer Date: <br /> $rocrons8004D8... <br /> Financial Services <br /> This instrument has been pre-audited in the ma er c'elieffVeiliTy the Local Government Budget and Fiscal Control Act: <br /> a �o� 10/10/2017 <br /> Office of the Chief Financial Officer Date: <br /> Date: <br /> Legal Services <br /> This agreement is approved as to legal form , • gf i hark: ,f'i� <br /> al/ AL, 1 SCb 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 Congregations in Mission) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />