R 2018-318 DSS - Diaper Bank of NC

Browse Search

DocuSign Envelope ID: C4A8ABA9- 961E- 4297- 82F0- 5B1739260CFF ORANGE COUNTY— DEPARTMENT USE ONLY Fier artment Party/Vendor Name: Diaper Bank of North Carolina Party/Vendor Contact Person: Michelle Old Contact Phone: 919 -886 -8085 Party/Vendor Address: 1311 E. Club Blvd, City Durham State: NC Zip: 27704 Department: Social Services Amount: $10,000 Purpose: Outcome Based Diaper Distribution Program Budget Code(s): 10400120- &30000 Vendor # 65126 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoZ Contract Type: (Check one) New 9 Renewal ❑ Amendment ❑ Effective Date July 1, 2018 Approved by Board Yes[:] No❑ Agenda Date: This agreement is approved as to tei Docu Signed by: N w6t& Department Director's Signature DAE1E196A836455... tent: Information Technologies Date: 7/24/2018 (Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Risk Management Date: This agreement is approved for sufcienc-- °'D=o- c°u-s-i- g°ne-d ° d y: - `_wx °rds, specifications, and requirements: aUSX (bVln.t 6 7/24/2018 Office of the Risk Management Office Date: 7FDCF917E800498... Financial Services This instrument has been pre - audited it Docusigned by: the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: 7/24/2018 7NE5181ACC1409... This agreement is approved as t DocuSigned by: Office of the Count Attorney 4CA4 - y 4C35C68304CA4A9... Legal Services ncy: Clerk to the Board Late: 7/25/2018 Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd caoran$ecountync,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: 7