Orange County NC Website
Browse       Search
DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Rape Crisis Center Party/Vendor Contact Person: Alyson Culin Contact <br /> Phone: 919-968-4647 Party/Vendor Address: 1506 E.Franklin St, Suite 302 City Chapel Hill State:NC Zip: 27514 <br /> Department:Finance &Administrative Services Amount: 52500 Purpose: FY 2017-18 Outside Agency Performance <br /> Agreement Budget Code(s): 10495050710009 Vendor # 800015 (N/A if new vendor) Vendor is a BOCC <br /> 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 technical fo �i9r : <br /> ,� „i,,,,L 10/11/2017 <br /> Department Director's Signature Date: <br /> 7B4E5181 ACC1•90.9 <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 ecatti a-kl,s',specifications,and requirements: <br /> QUsa. (avvul o 10/24/2017 <br /> Office of the Risk Management Officer 7FBGF9 6@9Q499 Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner • 'imetiblyctlie Local Government Budget and Fiscal Control Act: <br /> 0 d 10/11/2017 <br /> Office of the Chief Financial Officer � e4 ,.8ancc,�oe. Date: <br /> � <br /> Legal Services <br /> This agreement is approved as to legal form s°affkg' 10: 10/24/2017 <br /> Office of the County Attorney 079AADsscr1E4.EB._ 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 Rape Crisis Center) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />