Orange County NC Website
Browse       Search
DocuSign Envelope ID:C70973D3-D989-4F31-A95E-3BCC099C95E7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The Institute of Art Therapy Party/Vendor Contact Person: Hillary Rubesin Contact Phone: <br /> 919-381-6068 Party/Vendor Address: 200 N. Greenboro St., Suite D-6 City Carrboro State: NC Zip: 27510 <br /> Department: Finance & Administrative Services Amount: 300 Purpose: FY 2017-18 Outside Agency Performance <br /> Agreement Budget Code(s): 10495050720109 Vendor # 63288 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 7/1/2017 Approved by Board Yes®No❑ Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical f Docusigned by: <br /> Department Director's Signature 41./.114. Date: 11/27/2017 <br /> 7D4E5181ACCt409... <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 ins Wcusigned by: Hfications,and requirements: <br /> C�sa �w�f�a <br /> Office of the Risk Management Officer E7FDCF9176900498 <br /> Date: 11/27/2017 <br /> Financial Services <br /> This instrument has been pre-audited in the ma Cusigned by: Government Budget and Fiscal Control Act: <br /> 11/27/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC14o9... Date: <br /> Legal Services <br /> This agreement is approved as to legal form an DocuSigned by: <br /> 11/27/2017 <br /> Office of the County Attorney 079MD525COF4FE3... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran e� 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 /> (The Institute of Art Therapy) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7117 <br />