Orange County NC Website
DocuSign Envelope ID: 3F05AA6E -4F62- 4678- 8F07- 34D6E1679E9A <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Farmer Foodshare Party/Vendor Contact Person: Gini Bell Contact Phone: 919- 701 -2543 <br />Party/Vendor Address: 902 North Mangum Street City Durham State: NC Zip: 27701 Department: Finance & <br />Administrative Services Amount: 7375 Purpose: FY 2018 -19 Outside Agency/Human Services Performance <br />Agreeement Budget Code(s): 10695050- 720170 Vendor # 838481 (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 technica Docu5igneddyy: <br />Department Director's Signature 704E5181ACC1469... <br />Information Technologies <br />Date: <br />8/22/2018 <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 />Risk Management <br />This agreement is approved for sufficiency of insu DocuSigned by: <br />Quso. (6V1�.t,{�6 <br />Office of the Risk Management Officer 7FDCF91.7680 0498... <br />Financial Services <br />This instrument has been pre- audited in the ma DocuSigned by: <br />Office of the Chief Financial Officer <br />7NE5181ACC1469... <br />]legal Services <br />This agreement is approved as to legal form a Oocu7 /SSigl nelNdd by:` <br />�hw"�M1 —�i. <br />Office of the County Attorney ao35ces3aaCA4M... <br />Clerk to the Board <br />Date: <br />fications, and requirements: <br />8/22/2018 <br />Date: <br />l Government Budget and Fiscal Control Act: <br />8/22/2018 <br />Date: <br />Date: <br />8/22/2018 <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg sollgoran eg countync.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 />(Farmer Foodshare) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />