Orange County NC Website
(Youth Community Project) <br />Orange County Outside Agency Performance AgreementPage 7of 10 <br />Rev. 7/17 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: Youth Community Project Party/Vendor Contact Person: Tom McQuiston Contact Phone: <br />704-277-0043Party/Vendor Address: 179 East Franklin StreetCity Chapel HillState: NCZip: 27514Department: <br />Finance & Administrative ServicesAmount: 7038Purpose: FY 2017-18 Outside Agency Performance Agreement <br />Budget Code(s): 10495050720117Vendor # 800062(N/Aif new vendor) Vendor is a BOCC consultant? Yes <br />No Contract Type: (Check one) New Renewal Amendment Effective Date 7/1/2017Approved by <br />Board Yes No Agenda Date: 6/20/2017 <br />This agreement is approved as to technical form and content: <br />Department Director’s Signature ________________________________________ 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___________________________________ Date: ________ <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________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 />DocuSign Envelope ID: 3457204A-7765-4E36-8B42-227F6F673AF6 <br /> <br /> <br /> <br />