Orange County NC Website
DocuSign Envelope ID:9DA2D4AC-2348-434E-9B84-9BF3524778E5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Partnership for Young Children Party/Vendor Contact Person: Robin <br /> Pulver Contact Phone: 919-967-9091 Party/Vendor Address: 120 Providence Road, Suite 101 City: Chapel Hill <br /> State:NC Zip: 27514 Department: Social Services Amount: $5,950 Purpose:FY 2020-2021 Outside Agency/Human <br /> Services Performance Agreeement Budget Code(s): 10495050-719050 Vendor#30442 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ <br /> Effective Date 7/l/2020 Approved by Board Yes®No❑ Agenda Date: 6/16/2020 <br /> This agreement is approved as to to oa4u*rm end content: <br /> l Department Director's Signature NAan Gl1 Slbw Date: 11/5/2020 <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 sufficienc "gotandards, specifications,and requirements: <br /> Q�tSa C,bV1�t 1{fb 10/14/2020 <br /> Office of the Risk Management Officer FIYe Date: <br /> Financial Services <br /> This instrument has been pre-audited ' mtwvio4iequired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 11/5/2020 <br /> Legal Services <br /> This agreement is approved as t cfiad sufficiency: <br /> Office of the County Attorney ` Date:11/5/2020 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion @ singersollgoran eg coun nc.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 /> Orange County Partnership for Young Children <br /> Orange County Outside Agency Performance Agreement Page 6 of 9 <br /> Rev. 7118 <br />