Orange County NC Website
DocuSign Envelope ID: E30588DE- A1BC- 443D- A5C4- 3BE790331500 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Bridge II Sports Party/Vendor Contact Person: Ashley Thomas Contact Phone: 866 - 880 -2742 <br />Party/Vendor Address: 3729 Murphey School Road City Durham State: NC Zip: 27705 Department: Finance & <br />Administrative Services Amount: 6272 Purpose: FY 2018 -19 Outside Agency/Human Services Performance <br />Agreeement Budget Code(s): 10495050- 719056 Vendor # 62735 (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 technical fo DocuSigned by: <br />A.I. <br />Department Director's Signature 704E51S1ACC1409 /22/2018 <br />� 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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of in, QocuSigned by: I ;cifications, and requirements: <br />CrV1n.t,{�6 <br />Office of the Risk Management Officer Qu$A. �, Date: 8/22/2018 <br />7FDCF917E800498... <br />Financial Services <br />This instrument has been pre- audited in the manna oocuSigned by: overnment Budget and Fiscal Control Act: <br />r 0�° 8/22/2018 <br />Office of the Chief Financial Officer Date: <br />7o4E51aiACC,aas... <br />Legal Services <br />This agreement is approved as to legal form and OocuSigned by: <br />8/22/2018 <br />Office of the County Attorney 4035CB8304CA4M... Date: <br />Clerk to the Board <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 />(Bridge 11 Sports) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />