Orange County NC Website
Browse       Search
DocuSign Envelope ID: B3FB92A5-8DCA-444B-BA7D-945F9A80BEF7 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Departmen# <br /> PartyNendor Name: Diaper Bank of North Carolina PartyNendor Contact Person: Michelle Old Contact Phone: <br /> 919-886-8085 PartyNendor Address: 1311 E.Club Blvd. City Durham State:NC Zip: 27704 Department: Social <br /> Services Amount: $10,000 Purpose: Outcome Based Dialer Distribution Program Budget Code(s): 10400120- <br /> 630000 Vendor# 65126 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date July 1 2019 Approved by Board Yes❑No[] <br /> Agenda Date: <br /> This agreement is approved as tote(' 'D00't&gned by: ' tent: <br /> (,t� 8/5/2019 <br /> Department Director's Signature Date:8 <br /> Information Technologies <br /> (Applicable only to hardwarelsoftvare 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 Mana ement <br /> This agreement is approved for suf6cienc "oocu5iggpned_by: <br /> . -ds,specifications,and requirements: <br /> ��sa LQV1n.fb 7/16/2019 <br /> Office of the Risk Management Officer_ 7F❑CF917es00498- Date: <br /> Financial Services <br /> This instrument has been pre-audited' oocusigned by: the Local Government Budget and Fiscal Control Act: <br /> � � � 8/6/2019 <br /> Office of the Chief Financial Officer ('78481ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as t OocuSigned by: ncy: <br /> ht-� ,ainh_ 8/6/2019 <br /> Office of the County Attorney 4035CB8304CA4A9 Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd�]ad.oran eg countync.goy <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 /> 7 <br />