R 2019-772 DSS - Interfaith Council performance agreement

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DocuSign Envelope ID:7E3AF63A-2F47-4028-951A-OOBA2A7COOB2 ORANGE COUNTY—DEPARTMENT USE ONLY ❑epa rtment Party/Vendor Name: Inter-Faith Council Party/Vendor Contact Person: Jackie Jenks Contact Phone; 919-929-6380 Party/Vendor Address: 110 West Main Street City Carrboro State: NC Zip: 27510 Department: Social Services Amount; $142,603 Purpose: outside agency funding + emergency assistance program Budget Code(s): 10403020- 630000 Vendor 9 1149 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date July 1. 2019 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to tes DocuSigned by: .4—A-7 ►� � 10/18/2019 Department director's Signature 5DBEB56B28E0453-- Date. Information Technologies (Applicable only to hardwarelsoftwore purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This.agreement is approved for sufhcienc QocuSigned by: rds,specifications,and requirements: Qusa. (,DV1A. 6 10/17/2019 Office of the Risk Management Office 7FDCF0176800498- Date: Financial Services This instrument has been pre-audited u DocuSigned by: the Local Government Budget and Fiscal Control Act: 4 � 10/18/2019 Office of the Chief Financial Officer 7D4s1ACC1409. Date: Lezal Services This agreement is approved as t DocuSigned by: ncy: 10/18/2019 Office of the County Attorney 4035CB8304CA4M Date: Clerk to the Board Received for record retention: Ali Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: