Orange County NC Website
DocuSign Envelope ID: 48292955- 9A36 -47C6- BDDE- 4E9CDOBA074D <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Volunteers for Youth Party /Vendor Contact Person: Susan Worley Contact Phone: 919 -967- <br />4511 Party/Vendor Address: 205 Lloyd Street, Suite 103 City Carrboro State: NC Zip: 27510 Department: Finance <br />& Administrative Services Amount: 9075 Purpose: FY 2018 -19 Outside Agency/Human Services Performance <br />Agreeement Budget Code(s): 10495050- 710011 Vendor # 800018 (N /A if new vendor) Vendor is a BOCC <br />consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br />7/1/2018 Approved by Board Yes® No❑ Agenda Date: 6/19/2018 <br />This agreement is approved as to tec oocusigned by: <br />Department Director's Signature <br />P g _ 704E5181ACC1409... <br />Information Technologies <br />Date: <br />8/16/2018 <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 <br />Date: <br />Risk Management <br />This agreement is approved for sufficiency of i------i�oeuSigned by: " - pecifications, and requirements: <br />!��$p4 �,bl''ln.t,{�6 8/17/2018 <br />Office of the Risk Management Officer Date: <br />7FDCF9176900498... <br />Financial Services <br />This instrument has been pre- audited in the manner r Docusigned ay: <br />Office of the Chief Financial Officer 704E5181ACC1409_. <br />Legal Services <br />This agreement is approved as to legal form and ' OocuSigned by: <br />Office of the County Attorney 4035C68304CA4M... <br />Clerk to the Board <br />ernment Budget and Fiscal Control Act: <br />8/16/2018 <br />Date: <br />Date: <br />8/17/2018 <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg sollgoran eg countync. og_v <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 />(Volunteers for Youth) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />